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Organization

LAREDO EYE SURGERY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STEPHEN MCNUTT MD (MEDICAL DIRECTOR)
(956) 401-6615
Entity
Organization

Contact information

Practice address
6999 MCPHERSON RD STE 216, LAREDO, TX 78041-6450
(956) 401-6615
Mailing address
6999 MCPHERSON RD STE 216, LAREDO, TX 78041-6450
(956) 401-6615

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
261QS0132X
Ophthalmologic Surgery Clinic/Center

Other

Enumeration date
01/17/2024
Last updated
02/02/2024
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