Organization
BLUE STAR SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT BAYLESS MD (MANAGER)
(214) 287-3888
Entity
Organization
Contact information
Practice address
2120 N MACARTHUR BLVD STE 200, IRVING, TX 75061-2205
(972) 438-5232
Mailing address
2120 N MACARTHUR BLVD STE 200, IRVING, TX 75061-2205
(972) 438-5232
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
TX
Other
Enumeration date
08/25/2015
Last updated
08/25/2015
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