Organization
SOUTH SIDE SURGERY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN MCCORMICK MD (CEO)
(214) 317-4666
Entity
Organization
Contact information
Practice address
3060 COMMUNICATIONS PKWY, ST 104, PLANO, TX 75093-8449
(214) 317-4666
(214) 317-4667
Mailing address
PO BOX 678716, DALLAS, TX 75267-8716
(214) 317-4666
(214) 317-4667
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Enumeration date
07/02/2008
Last updated
07/02/2008
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