Sansome Surgical Services, Pllc

NPI #1568977999 in Southlake, Texas

Provider Information

NPI Number
1568977999
Entity Type
Organization
Organization Name
Sansome Surgical Services, Pllc
Primary Specialty
Anesthesiology
Enumeration Date
Dec 7, 2017
Last Updated
Dec 7, 2017

Practice Location

Address
2600 E SOUTHLAKE BLVD STE 120
Address 2
313
State
Texas
ZIP Code
76092-8045
Phone
(214) 612-6515

Authorized Official

Name
LIZETTE MORIN
Title
MDMS NPI COMPLIANCE OFFICER
Phone
(210) 598-2801

Specialties & Taxonomy Codes

Specialty
Anesthesiology

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