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Organization

GALLAGHER PARK SURGICENTER LTD

Active
Other names
THE CENTRE FOR AMBULATORY SURGERY
Organization subpart
No

Provider details

NPI number
Authorized official
MISS JUSTIN MULLENS RN (ADMINISTRATOR)
(903) 813-3377
Entity
Organization

Contact information

Practice address
300 N HIGHLAND AVE, SUITE 200, SHERMAN, TX 75092-7388
(903) 813-3377
(903) 868-3748
Mailing address
300 N HIGHLAND AVE, SUITE 200, SHERMAN, TX 75092-7388
(903) 813-3377
(903) 868-3748

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
007871
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10659955587
HUMANA PROVIDER #
TX
01
1497604
HMO BLUE PROVIDER #
TX
05
155561701
TX
01
2517739
AETNA HMO PROVIDER #
TX
01
5217068
AETNA PROVIDER #
TX
01
6850045
UHC PROVIDER #
TX
01
922866
FIRST HEALTH PROV #
TX
01
950014214
BLUE LINK PROVIDER #
TX
01
HH1380
BCBS PROVIDER #
TX
Enumeration date
07/08/2005
Last updated
12/21/2010
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