Organization
MANSFIELD SURGICAL PLAZA LLC
Active
Other names
Mansfield Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN SOLITO (CEO)
(817) 453-2744
Entity
Organization
Contact information
Practice address
280 REGENCY PKWY, MANSFIELD, TX 76063-7823
(817) 453-2744
(817) 842-0007
Mailing address
280 REGENCY PKWY, MANSFIELD, TX 76063-7823
(817) 453-2744
(817) 842-0007
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
008706
TX
Other
Enumeration date
06/10/2008
Last updated
02/17/2010
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