Organization
LIVE AGAIN SURGICAL
Active
Organization
LIVE AGAIN SURGICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STANLEY HAMILTON RN (OFFICE MANAGER)
(817) 729-6584
Entity
Organization
Contact information
Practice address
8865 DAVIS BLVD, KELLER, TX 76248-0322
(817) 431-1059
(817) 431-1567
Mailing address
8865 DAVIS BLVD, 100A, KELLER, TX 76248
(817) 431-1059
(817) 431-1567
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
09/20/2017
Last updated
07/21/2022
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