Organization
ROCKWALL AMBULATORY SURGERY CENTER LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINGER WHITE (ADMINISTRATOR)
(972) 772-6166
Entity
Organization
Contact information
Practice address
6435 S FM 549, STE 101, HEATH, TX 75032-6221
(972) 722-9003
(972) 722-9004
Mailing address
14201 DALLAS PKWY, DALLAS, TX 75254-2916
(972) 772-6166
(972) 772-6167
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
008119
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1710188
—
TX
Enumeration date
08/26/2005
Last updated
01/14/2020
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