GULFSTREAM SURGICAL FORT WORTH LLC is an ambulatory surgical clinic center in Fort Worth, TX. GULFSTREAM SURGICAL FORT WORTH LLC NPI is 1144827114. The provider is registered as an organization entity type.
The provider's business location address is:
975 HASKELL ST
FORT WORTH, TX
ZIP 76107-653
Phone: (214) 695-6273
The provider's authorized official is Daniel D'amico .
The authorized official title is Manager and has the following contact phone number (214) 695-6273.
The CLIA number assigned to this NPI record is 45D2198749 - ambulatory surgery center with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 10/2/2020 and was last updated on 10/2/2020.