Wichita Falls Specialty Asc LLC
NPI #1871169136 in Wichita Falls, Texas
Provider Information
- NPI Number
- 1871169136
- Entity Type
- Organization
- Organization Name
- Wichita Falls Specialty Asc LLC
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- May 27, 2021
- Last Updated
- Dec 5, 2022
Practice Location
- Address
- 4 BURNSIDE STE 100
- City
- Wichita Falls
- State
- Texas
- ZIP Code
- 76310-1128
- Phone
- (940) 400-6400
Authorized Official
- Name
- JENNIFER BOYD BALDOCK
- Title
- OFFICER AND AUTHORIZED OFFICAL
- Phone
- (615) 234-5954
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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