Organization
INTEGRATED SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMI ANN FOSTER (PRACTICE ADMINISTRATOR)
(817) 692-4089
Entity
Organization
Contact information
Practice address
1201 SUMMIT AVE STE 400, FORT WORTH, TX 76102-4428
(817) 332-6092
(817) 332-6015
Mailing address
1201 SUMMIT AVE STE 400, FORT WORTH, TX 76102-4428
(817) 332-6092
(817) 332-6015
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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