Laguna Azul Unlimited LLC

NPI #1659996114 in Ft Worth, Texas

Provider Information

NPI Number
1659996114
Entity Type
Organization
Organization Name
Laguna Azul Unlimited LLC
Primary Specialty
Specialist/Technologist, Other - Surgical Assistant
Enumeration Date
Jun 10, 2020
Last Updated
Feb 6, 2025

Practice Location

Address
6000 STAMPEDE RUN CIR APT 5312
State
Texas
ZIP Code
76123-6123
Phone
(817) 800-1163

Authorized Official

Name
MR. DANIEL D. WRIGHT, LSA
Title
OWNER
Phone
(214) 227-2457

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist, Other - Surgical AssistantSurgical Assistant

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