Organization · Type 2 NPI
Bridgeport Ambulatory Surgery Center
Ambulatory Surgical Clinic/Center · Bridgeport, TX
NPI number
1639105356
Active
Practice location
806 Woodrow Wilson Ray Cir
Bridgeport, TX 76426-2061
Fax (940) 683-4398
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Surgical Clinic/Center Primary | 261QA1903X | 006824 (TX) |
Ambulatory Surgical Clinic/Center: Definition to come...
About NPI 1639105356
Bridgeport Ambulatory Surgery Center's National Provider Identifier is 1639105356, issued on Jun 24, 2006. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Bridgeport, TX. The record was last updated on Jul 11, 2008.