Texoma Outpatient Surgery Center, Inc.

NPI #1063517316 in Wichita Falls, Texas

Provider Information

NPI Number
1063517316
Entity Type
Organization
Organization Name
Texoma Outpatient Surgery Center, Inc.
Primary Specialty
Nurse Anesthetist, Certified Registered
Enumeration Date
Sep 13, 2006
Last Updated
Jul 17, 2007

Practice Location

Address
1712 11TH ST
State
Texas
ZIP Code
76301-5020
Phone
(940) 723-2499

Authorized Official

Name
TRACY YOUNGBLOOD
Title
RN/ADMINISTRATOR
Phone
(940) 723-2499

Specialties & Taxonomy Codes

Specialty
Nurse Anesthetist, Certified Registered

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