Organization
SURGERY IN MOTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFF BOUTTE SA-C (CEO)
(214) 364-6769
Entity
Organization
Contact information
Practice address
7512 FOREST BEND DR, PARKER, TX 75002-6823
(214) 364-6769
Mailing address
PO BOX 2923, WYLIE, TX 75098-2923
(214) 364-6769
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
0801279431
TX
Other
Enumeration date
04/21/2016
Last updated
04/21/2016
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