Tea Obs LLC

NPI #1962123315 in Meridian, Idaho

Provider Information

NPI Number: 1962123315
Entity Type: Organization
Organization Name: Tea Obs LLC
Primary Specialty: Clinic/Center - Ambulatory Surgical
Enumeration Date: Sep 5, 2022
Last Updated: Aug 22, 2023

Practice Location

Address: 2620 S EAGLE RD
City: Meridian
State: Idaho
ZIP Code: 83642-6704
Phone: (208) 342-5151

Authorized Official

Name: DAVID CROOKE
Title: ADMINISTRATOR
Phone: (208) 342-5151

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Ophthalmologic Surgery — Ophthalmologic Surgery	261QS0132X
Clinic/Center - Ambulatory Surgical — Ambulatory Surgical	261QA1903X	Primary

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