Organization · Type 2 NPI
Mansfield Surgical Plaza LLC
Ambulatory Surgical Clinic/Center · Mansfield, TX
NPI number
1790945145
Active
Practice location
280 Regency Pkwy
Mansfield, TX 76063-7823
Fax (817) 842-0007
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Surgical Clinic/Center Primary | 261QA1903X | 008706 (TX) |
Ambulatory Surgical Clinic/Center: Definition to come...
3 other providers at this address
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About NPI 1790945145
Mansfield Surgical Plaza LLC's National Provider Identifier is 1790945145, issued on Jun 10, 2008. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Mansfield, TX. The record was last updated on Feb 17, 2010.