WINDHAVEN SURGERY CENTER, LLC
Ambulatory Health at Windhaven Pkwy, Plano, TX

License number
Texas APP #08498
Category
Ambulatory Health
Type
Ambulatory Surgical
Owner
Name: MS. DONNA DRERUP
Title: CHIEF MANAGER
Phone: (817) 875-7336
Address
Address
6160 Windhaven Pkwy STE 220, Plano, TX 75093
National Provider ID: 1356542419
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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WINDHAVEN SURGERY CENTER, LLC

6160 Windhaven Pkwy STE 220, Plano, TX 75093

Doing business as:
Candor Surgical Management<br>Windhaven Ambulatory<br>Windhaven Surgery Center, LLC<br>Windhaven Surgical
Registration:
Sep 8, 2006
State ID:
0800705212
Business type:
Domestic Limited Liability Company (LLC)
MAMBER, Mambers:
Jaryl Korpinen (MEMBER, Member), 8035 Strathmoore, McKinney, TX 75070,Jerry Lewis (MEMBER, Member), 5512 Seapines Dr, Plano, TX 75093,Luis Mignucci (MANAGER, Manager), 6601 Sudsbury Ct, Plano, TX 75024,...
Agent:
Keith D Biggers,918 Parkview Ln, Southlake, TX 76092 (Physical)
TIN:
12082518908

Windhaven Surgery Center, LLC

6160 Wndhven Pkwy, Plano, TX 75023

Industry:
General Hospital
Phone:
(972) 212-7463 (Phone)
Administrations:
Keith D. Biggers (Mbr),Donna Dreup (Managing Officer, Mbr),Jerry W. Lewis (Medical Director),...

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