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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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