Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Ambulatory Surgical |
261QA1903X | 49 | Ambulatory Surgical Center |
| NPI Number | 1538242649 |
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| LBN Legal business name | SOUTHWESTERN ENDOSCOPY CENTER, LLC | ||||||||||||
| Authorized official | ROBERT STOKES - (SECRETARY) | ||||||||||||
| Entity | Organization | ||||||||||||
| Organization subpart 1 | No | ||||||||||||
| Enumeration date | 10/23/2006 | ||||||||||||
| Last updated | 07/21/2022 - About 4 years ago | ||||||||||||
| Identifiers |
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