Organization
SOUTH ARLINGTON SURGICAL PROVIDERS, LLC
Active
Other names
Same Day Surgicare
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE L. O'NEAL (CHIEF ADMINISTRATIVE OFFICER)
(817) 784-6771
Entity
Organization
Contact information
Practice address
350 E INTERSTATE 20 STE 200, ARLINGTON, TX 76018-1119
(817) 784-6771
(817) 784-6743
Mailing address
350 E INTERSTATE 20 STE 200, ARLINGTON, TX 76018-1119
(817) 784-6771
(817) 784-6743
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
000391
TX
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
130217
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
087953801
—
TX
05
—
087953817
—
TX
Enumeration date
06/04/2006
Last updated
12/30/2019
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