WEST MAGNOLIA SURGERY CENTER NPI 1629381967

NPI Information

WEST MAGNOLIA SURGERY CENTER is an ambulatory surgical clinic center in Fort Worth, TX. WEST MAGNOLIA SURGERY CENTER NPI is 1629381967. The provider is registered as an organization entity type.

The provider's business location address is:

1200 W MAGNOLIA AVE
110
FORT WORTH, TX
ZIP 76104-481
Phone: (817) 870-4833
Fax: (817) 870-4893

The provider's authorized official is Emily Blackburn Mclaughlin .
The authorized official title is Managing Partner and has the following contact phone number (817) 870-4833.

The CLIA number assigned to this NPI record is 45D2010396 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/15/2010 and was last updated on 7/28/2010.

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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