Texoma Outpatient Surgery Center, Inc.

NPI #1154322600 in Wichita Falls, Texas

Provider Information

NPI Number
1154322600
Entity Type
Organization
Organization Name
Texoma Outpatient Surgery Center, Inc.
Primary Specialty
Clinic/Center - Ambulatory Surgical
Enumeration Date
Aug 9, 2005
Last Updated
Jul 17, 2007

Practice Location

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

Authorized Official

Name
DR. PHILLIP W. KELLY, M.D.
Title
PRESIDENT/MEDICAL DIRECTOR
Phone
(940) 723-2499

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Ambulatory SurgicalAmbulatory Surgical

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