Grapevine Surgicare Partners Ltd

NPI #1295702942 in Southlake, Texas

Provider Information

NPI Number
1295702942
Entity Type
Organization
Organization Name
Grapevine Surgicare Partners Ltd
Primary Specialty
Clinic/Center - Ambulatory Surgical
Enumeration Date
Mar 1, 2006
Last Updated
Oct 7, 2024

Practice Location

Address
905 E SOUTHLAKE BLVD
Address 2
STE 200
State
Texas
ZIP Code
76092-8602
Phone
(817) 410-4300

Authorized Official

Name
DONITA FLEMING
Title
AUTHORIZED OFFICIAL
Phone
(202) 815-3665

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Ambulatory SurgicalAmbulatory Surgical

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