Organization
MERIDIAN SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY EUGENE TJELMELAND M.D. (CEO)
(512) 617-7505
Entity
Organization
Contact information
Practice address
4220 BULL CREEK RD, AUSTIN, TX 78731-6026
(512) 617-7500
(512) 323-9382
Mailing address
4220 BULL CREEK RD, AUSTIN, TX 78731-6026
(512) 617-7500
(512) 323-9382
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
008080
TX
Other
Enumeration date
10/03/2006
Last updated
07/29/2020
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