UROLOGY SURGERY CENTER OF TEXARKANA
Ambulatory Health at Moores Ln, Texarkana, TX

License number
Texas 008308
Category
Ambulatory Health
Type
Ambulatory Surgical
Owner
Name: MR. VONGPHANET JOE SIHARATH M.B.A.
Title: ADMINISTRATOR
Phone: (903) 792-7515
Address
Address
1902 Moores Ln FLOOR SECOND, Texarkana, TX 75503
National Provider ID: 1972562940
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about UROLOGY SURGERY CENTER OF TEXARKANA at bizstanding.com

UROLOGY SURGERY CENTER OF TEXARKANA, LTD

Texarkana, TX

Status:
Inactive
Registration:
Nov 29, 2004
Addresses:
1902 Moores Ln, Texarkana, TX 75503 (Mailing)
1002 Texas Blvd, Texarkana, TX 75501
State ID:
0800418787
Business type:
Domestic Limited Partnership (LP)
General Partner:
Urosurg, Llc General Partner, inactive
Agent:
Glen A. Rountree,1002 Texas Blvd STE 500, Texarkana, TX 75501 (Physical)
TIN:
32035500605

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