Organization
TYLOCK-GEORGE COSMETIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAJ NASSER (MEDICAL DIRECTOR)
(972) 258-6400
Entity
Organization
Contact information
Practice address
3100 N MACARTHUR BLVD, IRVING, TX 75062-4451
(972) 258-6400
Mailing address
3100 N MACARTHUR BLVD, IRVING, TX 75062-4451
(972) 258-6400
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
261QS0132X
Ophthalmologic Surgery Clinic/Center
—
—
Other
Enumeration date
11/13/2024
Last updated
11/18/2024
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