Organization · Type 2 NPI
Teton Outpatient Services LLC
Ambulatory Surgical Clinic/Center · Jackson, WY
NPI number
1689651481
Active
Practice location
150 Buffalo Way
Jackson, WY 83001-2530
Fax (307) 734-7365
Mailing address
14201 Dallas Pkwy
Dallas, TX 75254-2916
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Surgical Clinic/Center Primary | 261QA1903X | 0713016 (WY) |
Ambulatory Surgical Clinic/Center: Definition to come...
2 other providers at this address
About NPI 1689651481
Teton Outpatient Services LLC's National Provider Identifier is 1689651481, issued on Dec 22, 2005. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Jackson, WY. The record was last updated on Oct 24, 2024.