Organization
HYDE PARK SURGERY CENTER, LLC
Active
Other names
Hyde Park Surgery Center, LP
Organization subpart
No
Provider details
NPI number
Authorized official
PETER BLACH (OFFICER/AUTHORIZED OFFICIAL)
(713) 343-0832
Entity
Organization
Contact information
Practice address
4611 GUADALUPE ST., SUITE 100, AUSTIN, TX 78751-2908
(512) 420-2303
(512) 420-2379
Mailing address
4611 GUADALUPE STREET, SUITE 100, AUSTIN, TX 78751-2928
(512) 420-2303
(512) 420-2379
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
008677
TX
261QA1903X
Ambulatory Surgical Clinic/Center
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Other
Enumeration date
02/28/2008
Last updated
10/09/2024
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