Master Center for Minimally Invasive Surgery Texas,llp

NPI #1619148418 in Southlake, Texas

Provider Information

NPI Number: 1619148418
Entity Type: Organization
Organization Name: Master Center for Minimally Invasive Surgery Texas,llp
Primary Specialty: Surgery
Enumeration Date: Mar 19, 2008
Last Updated: Mar 19, 2008

Practice Location

Address: 1545 E SOUTHLAKE BLVD
Address 2: SUITE 140
City: Southlake
State: Texas
ZIP Code: 76092-6422
Phone: (817) 748-0200

Authorized Official

Name: DR. ROBERT W SEWELL, M.D.
Title: PRESIDENT
Phone: (817) 748-0200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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