OLD TESSON SURGERY CENTER L.P. NPI 1104082692

NPI Information

OLD TESSON SURGERY CENTER, L.P. is an ambulatory surgical clinic center in Saint Louis, MO. OLD TESSON SURGERY CENTER, L.P. NPI is 1104082692. The provider is registered as an organization entity type.
The provider Is Doing Business As Old Tesson Surgery Center.

The provider's business location address is:

12639 OLD TESSON RD
STE 130
SAINT LOUIS, MO
ZIP 63128-786
Phone: (314) 729-0785
Fax: (314) 667-3629

The provider's authorized official is Christopher Hartshorn .
The authorized official title is Officer/authorized Official and has the following contact phone number (314) 800-2017.

The CLIA number assigned to this NPI record is 26D0985652 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/4/2008 and was last updated on 9/27/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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