Organization
BRIDGEPORT AMBULATORY SURGERY CENTER
Active
Other names
DAVID A RAY BRIDGEPORT SURGERY CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUE RAY RN (ADMINISTRATOR)
(940) 683-6670
Entity
Organization
Contact information
Practice address
806 WOODROW WILSON RAY CIR, BRIDGEPORT, TX 76426-2061
(940) 683-6670
(940) 683-4398
Mailing address
806 WOODROW WILSON RAY CIR, BRIDGEPORT, TX 76426-2061
(940) 683-6670
(940) 683-4398
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
006824
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
085929001
—
TX
Enumeration date
06/24/2006
Last updated
07/11/2008
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