Organization Name: | FIRST SURGERY SUITES, LLC |
NPI Number: | 1295966257 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GARY BOYD (MEDICAL DIRECTOR/PARTNER) |
Mailing Address: | 1402 Medical Drive Sulphur Springs |
State: | TX US |
Postal Code: | 754822136 |
Phone Number: | 9033301246 |
Fax Number: | |
NPI Enumeration Date: | 08/06/2009 |
NPI Last Update Date: | 10/04/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QA1903X |
License Number: | 130030 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Ambulatory Surgical |
Taxonomy Definition: |