Organization
METHODIST MANSFIELD AMBULATORY SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER BOYD BALDOCK (OFFICER AND AUTHORIZED OFFICIAL)
(615) 234-5954
Entity
Organization
Contact information
Practice address
252 MATLOCK RD STE 430, MANSFIELD, TX 76063-6565
(817) 242-3600
(817) 242-3601
Mailing address
252 MATLOCK RD STE 430, MANSFIELD, TX 76063-6565
(817) 242-3600
(817) 242-3601
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
02/19/2020
Last updated
08/22/2023
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