| Surgical Iom, Llc | |
|
609 Medical Center Dr Decatur TX 76234-3836 | |
| (940) 627-5921 | |
| Not Available |
| Full Name | Surgical Iom, Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Clinical Neurophysiology |
| Location | 609 Medical Center Dr, Decatur, Texas |
| Authorized Official Name and Position | Joanne Woods (BILLING SUPERVISOR) |
| Authorized Official Contact | 8179122131 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Surgical Iom, Llc 2600 E Southlake Blvd Ste 120 Southlake TX 76092-8045 Ph: () - | Surgical Iom, Llc 609 Medical Center Dr Decatur TX 76234-3836 Ph: (940) 627-5921 |
| NPI Number | 1982228128 |
|---|---|
| Provider Enumeration Date | 06/03/2020 |
| Last Update Date | 06/03/2020 |
| Certification Date | 06/03/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982228128 | NPI | - | NPPES |
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