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Organization

BAYLOR SURGICARE AT DUNCANVILLE LLC

Active
Other names
Surgery Center of Duncanville
Organization subpart
No

Provider details

NPI number
Authorized official
JENETHA MORAN (PARALEGAL)
(972) 763-3893
Entity
Organization

Contact information

Practice address
1018 E WHEATLAND RD, DUNCANVILLE, TX 75116-4914
(972) 296-6912
(972) 296-1387
Mailing address
1018 E WHEATLAND RD, DUNCANVILLE, TX 75116-4914
(972) 296-6912
(972) 296-1387

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
007245
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
007245
LICENSE
TX
Enumeration date
10/08/2010
Last updated
05/20/2011
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