Organization
SWSC-HURST, L.P.
Active
Other names
SOUTHWEST SURGICAL HOSPITAL
Organization subpart
No
Provider details
NPI number
Authorized official
TRUDY KAY WIIG (CHIEF EXECUTIVE OFFICER)
(817) 345-4100
Entity
Organization
Contact information
Practice address
1612 HURST TOWN CENTER DR, HURST, TX 76054-6236
(817) 345-4100
Mailing address
1612 HURST TOWN CENTER DR, HURST, TX 76054-6236
(817) 345-4100
Taxonomy
Speciality
Code
Description
License number
State
284300000X
Special Hospital
Primary
008123
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1722621-01
—
TX
Enumeration date
07/04/2006
Last updated
04/14/2010
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