Cottonwood Procedure Center LLC
Clinic/Center, Multi-Specialty in Irving, TX. Organization (NPI-2).
NPI number1275958019
StatusActive
Last updated in NPPESMar 4, 2014
Details
- NPI
- 1275958019
- Entity type
- Organization (NPI-2)
- Legal business name
- Cottonwood Procedure Center LLC
- Organization subpart
- No
- Enumeration date
- Mar 4, 2014
- Last updated
- Mar 4, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM1300X | Clinic/Center, Multi-Specialty | – | – | Yes |
Practice location
4301 N Macarthur Blvd# 107
Irving, TX 75038-6497
Phone 972-255-5588
Mailing address
4301 N Macarthur Blvd# 107
Irving, TX 75038-6497
Phone 972-255-5588
Authorized official
Cary Won
Manager
9722555588
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