Organization
LAGUNA AZUL UNLIMITED LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL D. WRIGHT LSA (OWNER)
(214) 227-2457
Entity
Organization
Contact information
Practice address
6000 STAMPEDE RUN CIR APT 5312, FT WORTH, TX 76123-6123
(817) 800-1163
Mailing address
6000 STAMPEDE RUN CIR APT 5312, FORT WORTH, TX 76123-6123
(214) 227-2457
(214) 767-0880
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
06/10/2020
Last updated
02/06/2025
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