Organization
VIRGIL ENDOSCOPY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL C BLANTON (PRESIDENT, BOARD OF MANAGERS)
(615) 345-6900
Entity
Organization
Contact information
Practice address
500 S VIRGIL AVE, SUITE 301, LOS ANGELES, CA 90020-1446
(213) 738-6090
Mailing address
14201 DALLAS PKWY, DALLAS, TX 75254-2916
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
10/10/2016
Last updated
01/12/2025
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