Organization
INTERVENTIONAL SURGICAL CARE, LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IGOR KOZLIK (CEO)
(956) 554-7733
Entity
Organization
Contact information
Practice address
6501 BLANCO RD, SAN ANTONIO, TX 78216-6627
(956) 554-7733
Mailing address
1100 N EXPRESSWAY 83, STE 3, BROWNSVILLE, TX 78521
(956) 554-7733
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
007132
TX
Other
Enumeration date
05/29/2007
Last updated
10/21/2008
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