Organization
ALLEGIANCE SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN HICKEY (OWNER)
(972) 897-3280
Entity
Organization
Contact information
Practice address
1106 ALSTON AVE STE 100, FORT WORTH, TX 76104-4665
(817) 332-0660
Mailing address
550 BAILEY AVE STE 750, FORT WORTH, TX 76107-2175
(817) 402-0269
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
11/08/2021
Last updated
11/08/2021
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