NPI 1073997144

North Campus Surgery Center LLC

Organisation Ambulatory Surgical Clinic/Center Creve Coeur, MO

Practice location

Address: 633 Emerson Rd #120, Creve Coeur, MO 63141-6739
Phone: (314) 991-9922
Fax: (314) 991-6794
Mailing address: 15305 Dallas Pkwy STE 1600, Addison, TX 75001-6491

Authorised official

Name: Jenetha D Moran
Title: Officer/Authorized Official
Phone: (972) 763-3893

Registered specialties (2)

Ambulatory Surgical Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QA1903X Licence 264-0 (MO)

Other Clinic/Center providers in Missouri →

Ambulatory Surgical Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QA1903X Licence TBD (MO)

Registry record

NPI: 1073997144
Entity type: Organization
NPI issued: 17 Jul 2015
Record last updated: 13 Aug 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.