Organization
FORT WORTH SURGICAL CENTER LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY MARIE BEMIS (AUTHORIZED OFFICIAL)
(858) 504-5667
Entity
Organization
Contact information
Practice address
6949 BRYANT IRVIN ROAD, FORT WORTH, TX 76132
(817) 332-1818
Mailing address
DEPT# 6017, PO BOX 4417, HOUSTON, TX 77210-4417
(610) 644-8900
(484) 924-0053
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
04/12/2019
Last updated
11/09/2023
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