Mansfield Surgical Plaza LLC

NPI #1790945145 in Mansfield, Texas

Provider Information

NPI Number
1790945145
Entity Type
Organization
Organization Name
Mansfield Surgical Plaza LLC
Primary Specialty
Clinic/Center - Ambulatory Surgical
Enumeration Date
Jun 10, 2008
Last Updated
Feb 17, 2010

Practice Location

Address
280 REGENCY PKWY
State
Texas
ZIP Code
76063-7823
Phone
(817) 453-2744

Authorized Official

Name
SHAWN SOLITO
Title
CEO
Phone
(817) 453-2744

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Ambulatory SurgicalAmbulatory Surgical

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