Organization
WILLOW CREEK SURGERY CENTER LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VERNESCIA FULLER (OFFICE MANAGER)
(903) 729-2888
Entity
Organization
Contact information
Practice address
300 WILLOW CREEK PKWY, SUITE 100, PALESTINE, TX 75801-4389
(417) 889-2040
(417) 887-2935
Mailing address
300 WILLOW CREEK PKWY, SUITE 100, PALESTINE, TX 75801-4389
(417) 889-2040
(417) 887-2935
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
01/21/2010
Last updated
12/11/2019
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