SWISS AVENUE SURGICENTER MANAGEMENT LLC NPI 1235257130

NPI Information

SWISS AVENUE SURGICENTER MANAGEMENT LLC is an ambulatory surgical clinic center in Dallas, TX. SWISS AVENUE SURGICENTER MANAGEMENT LLC NPI is 1235257130. The provider is registered as an organization entity type.
The provider Is Doing Business As Swiss Avenue Surgicenter Lp.

The provider's business location address is:

4103 SWISS AVE STE B
DALLAS, TX
ZIP 75204-102
Phone: (214) 821-2001
Fax: (214) 821-2047

The provider's authorized official is Susan Yvonne Rothman .
The authorized official title is Administrator and has the following contact phone number (214) 821-2001.

The CLIA number assigned to this NPI record is 45D0891593 - end stage renal disease dialysis with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/27/2007 and was last updated on 8/22/2020.

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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