Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Ambulatory Surgical |
261QA1903X | 49 | Ambulatory Surgical Center |
| NPI # | 1124083878 |
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| LBN Legal business name | THREE GABLES SURGERY CENTER LLC | ||||||||||||
| Authorized official | VIRGINIA COX - (OFFICE MANAGER) | ||||||||||||
| Entity | Organization | ||||||||||||
| Organization subpart 1 | No | ||||||||||||
| Enumeration date | 04/18/2006 | ||||||||||||
| Last updated | 01/20/2021 - About 5 years ago | ||||||||||||
| Identifiers |
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