Organization
THE PALLADIUM FOR SURGERY DALLAS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY BURTON (BUSINESS OFFICE SUPERVISOR)
(214) 350-2400
Entity
Organization
Contact information
Practice address
5920 FOREST PARK RD, SUITE 700, DALLAS, TX 75235-6411
(214) 350-2400
(214) 352-4862
Mailing address
5920 FOREST PARK RD, SUITE 700, DALLAS, TX 75235-6411
(214) 350-2400
(214) 352-4862
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
70064187
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008323
TX DEPT OF STATE HEALTH S
TX
Enumeration date
01/11/2007
Last updated
07/20/2007
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