Organization
TURTLE CREEK SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAKOTO SAIGUSA DMD, MD (OWNER)
(903) 592-1664
Entity
Organization
Contact information
Practice address
805 TURTLE CREEK DR, TYLER, TX 75701-1937
(903) 592-1664
(903) 592-6595
Mailing address
801 TURTLE CREEK DR, TYLER, TX 75701-1937
(903) 592-1664
(903) 592-6595
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
008054
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
167240401
—
TX
Enumeration date
02/19/2007
Last updated
10/03/2024
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