| Organization Name: | SURGERY CENTER OF MIDWEST CITY, LLC |
| NPI Number: | 1003800798 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SHERRY MILLS (ADMINISTRATOR) |
| Mailing Address: | 8121 National Ave Suite 108 Midwest City |
| State: | OK US |
| Postal Code: | 731107530 |
| Phone Number: | 4057327905 |
| Fax Number: | 4057414622 |
| NPI Enumeration Date: | 09/08/2005 |
| NPI Last Update Date: | 04/10/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | 0025 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |