VICTORIA SURGERY CENTER
Ambulatory Health at James Coleman Dr, Victoria, TX

License number
Texas 000396
Category
Ambulatory Health
Type
Ambulatory Surgical
Owner
Name: CONNIE STCLAIR
Title: ADMINISTRATOR
Phone: (361) 578-0234
Address
Address
105 James Coleman Dr, Victoria, TX 77904
National Provider ID: 1164480992
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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VICTORIA SURGERY CENTER, INC

107 James Coleman Dr, Victoria, TX 77904

Industry:
Medical Doctor's Office
Doing business as:
Victoria Surgery Center, Inc
Registration:
Nov 13, 1996
Phone:
(361) 578-0234 (Phone)
State ID:
0142201600
Business type:
Domestic For-Profit Corporation
SECRETARY, President, Director, Secretary:
George Boozalis (SECRETARY, President, Director, Secretary), 810 Champions Row, Victoria, TX 77904
Agent:
George T Boozalis,107 James Coleman Dr, Victoria, TX 77904 (Physical)
TIN:
17428031003

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