NPI:
1376540096
Provider Name:
DEHAVEN CATARACT SURGICAL CENTER ,INC
Doing Business As: DEHAVEN SURGICAL CENTER, INC
Classification:
Clinic/Center - 261QA1903X
Entity Type:
Organization
Specialization: Ambulatory Surgical
Address:
1424 EAST FRONT
TYLER, TX
ZIP 75702
Phone:
(903) 595-7510
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DEHAVEN CATARACT SURGICAL CENTER ,INC is an ambulatory surgical clinic center in Tyler, TX. DEHAVEN CATARACT SURGICAL CENTER ,INC NPI is 1376540096. The provider is registered as an organization entity type.
The provider Is Doing Business As Dehaven Surgical Center, Inc.
The provider's business location address is:
1424 EAST FRONT
TYLER, TX
ZIP 75702-501
Phone: (903) 595-7510
Fax: (903) 526-5491
The provider's authorized official is Gina V. Lowndes .
The authorized official title is Financial Service Manager and has the following contact phone number (903) 595-7510.
The enumeration date for this NPI number is 7/7/2005 and was last updated on 3/8/2017.