Organization
BENT TREE SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES WALLACE MD (PRESIDENT)
(972) 380-7090
Entity
Organization
Contact information
Practice address
17110 DALLAS PKWY, 100, DALLAS, TX 75248-1167
(972) 380-7090
Mailing address
17110 DALLAS PKWY, 100, DALLAS, TX 75248
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
06/13/2006
Last updated
08/22/2020
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