Organization
UROLOGY SURGERY CENTER OF TEXARKANA
Active
Other names
Specialty Day Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VONGPHANET JOE SIHARATH M.B.A. (ADMINISTRATOR)
(903) 792-7515
Entity
Organization
Contact information
Practice address
1902 MOORES LN, SECOND FLOOR, TEXARKANA, TX 75503-4610
(903) 792-7515
(903) 793-8225
Mailing address
1902 MOORES LN, SECOND FLOOR, TEXARKANA, TX 75503-4610
(903) 792-7515
(903) 793-8225
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
008308
TX
Other
Enumeration date
03/20/2006
Last updated
08/22/2020
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