Organization
PHYSICIANS WEST EL PASO SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRISHA GRUS (VP-MANAGED CARE CONTRACTING)
(405) 875-5025
Entity
Organization
Contact information
Practice address
820 E REDD RD, EL PASO, TX 79912-7221
(405) 875-5025
Mailing address
3540 S BOULEVARD, SUITE 225, EDMOND, OK 73013-5541
(405) 875-5025
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
10/20/2016
Last updated
10/20/2016
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