Organization
FOUNDATION SURGERY AFFILLIATE OF GRAYSON COUNTY, LLC
Active
Other names
Heritage Park Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEANN SUTTON (CLINICAL MANAGER/ADMINISTRATOR)
(903) 813-3700
Entity
Organization
Contact information
Practice address
3603 CALAIS DRIVE, SHERMAN, TX 75090
(903) 813-3700
(903) 813-3701
Mailing address
PO BOX 20603, OKLAHOMA CITY, OK 73156-0603
(405) 608-1700
(405) 608-1817
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
008266
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1766065
—
TX
Enumeration date
06/16/2006
Last updated
07/08/2009
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