Methodist Mansfield Ambulatory Surgery Center, LLC

NPI #1700419678 in Mansfield, Texas

Provider Information

NPI Number: 1700419678
Entity Type: Organization
Organization Name: Methodist Mansfield Ambulatory Surgery Center, LLC
Primary Specialty: Clinic/Center - Ambulatory Surgical
Enumeration Date: Feb 19, 2020
Last Updated: Aug 22, 2023

Practice Location

Address: 252 MATLOCK RD STE 430
City: Mansfield
State: Texas
ZIP Code: 76063-6565
Phone: (817) 242-3600

Authorized Official

Name: JENNIFER BOYD BALDOCK
Title: OFFICER AND AUTHORIZED OFFICIAL
Phone: (615) 234-5954

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Ambulatory Surgical — Ambulatory Surgical	261QA1903X	Primary

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