Organization
TEXOMA SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILLIP J STEPHAN M.D. (PRESIDENT)
(940) 264-2600
Entity
Organization
Contact information
Practice address
2200 KELL BLVD, WICHITA FALLS, TX 76309-4401
(940) 264-2600
(940) 264-2601
Mailing address
PO BOX 1011, WICHITA FALLS, TX 76307-1011
(940) 264-2600
(940) 264-2601
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
02/17/2015
Last updated
02/17/2015
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