institution
Teton Outpatient Services Llc
Ambulatory Surgical Clinic/Center in Jackson, Wyoming
NPI 1689651481

Teton Outpatient Services Llc is an Ambulatory Surgical Clinic/Center based in Dallas, WY and is specialized in Ambulatory Surgical. Teton Outpatient Services Llc practices in Jackson, WY. The NPI Number for Teton Outpatient Services Llc is 1689651481 and holds a License No. 0713016 (Wyoming).

The current practice location address for Teton Outpatient Services Llc is 150 Buffalo Way, Jackson, WY and can be reached out via phone at 307-733-8677 and via fax at 307-734-7365. You can also correspond with Teton Outpatient Services Llc through the mailing address at 14201 DALLAS PKWY, DALLAS, TX - 75254-2916 (mailing address contact number: 307-733-8677).

Location: 150 Buffalo Way, Jackson, WY, 75254-2916
institution
Provider Profile Details
NPI Number
1689651481
Provider Name
Teton Outpatient Services Llc
Credential
Provider Entity Type
Organization
Address
150 Buffalo Way, Jackson, WY, 75254-2916
Phone Number
307-733-8677
Fax Number
307-734-7365
Provider Enumeration Date
12/22/2005
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
113599600 05 WY
490004244 01 WY RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
150 Buffalo Way
City
State
Zip
83001-2530
Phone Number
307-733-8677
Fax Number
307-734-7365
person
Provider Business Mailing Address Details
Address
14201 Dallas Pkwy
City
State
Zip
75254-2916
Phone Number
307-733-8677
Fax Number
307-734-7365
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
License No.
0713016 (Wyoming)
Definition
Definition to come...
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