PARK HILL SURGERY CENTER LLC NPI 1093120859

NPI Information

  • NPI: 1093120859
  • Provider Name: PARK HILL SURGERY CENTER, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 45D2086279
  • Address: 3455 LOCKE AVE
    STE 100
    FORT WORTH, TX
    ZIP 76107
  • Phone: (817) 585-1900

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NPI Details

PARK HILL SURGERY CENTER, LLC is an ambulatory surgical clinic center in Fort Worth, TX. PARK HILL SURGERY CENTER, LLC NPI is 1093120859. The provider is registered as an organization entity type.

The provider's business location address is:

3455 LOCKE AVE
STE 100
FORT WORTH, TX
ZIP 76107-745
Phone: (817) 585-1900
Fax: (817) 585-1899

The provider's authorized official is Jawad Qureshi .
The authorized official title is Board Chairman and has the following contact phone number (817) 773-0293.

The CLIA number assigned to this NPI record is 45D2086279 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, bupivacaine liposome, 1 mg (HCPCS:C9290)
  • Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
  • Processing, preserving and transporting corneal tissue (HCPCS:V2785)
  • Transplantation of outer layer of corneal tissue (HCPCS:65756)
  • Removal of recurring cataract in lens capsule using a laser (HCPCS:66821)
  • Removal of membrane of retina with removal of internal limiting membrane of retina (HCPCS:67042)
  • Removal of nasal air passage under lining tissue (HCPCS:30140)
  • Complex removal of cataract with insertion of prosthetic lens (HCPCS:66982)
  • Removal of nasal sinus tissue using an endoscope (HCPCS:31267)
  • Repair of groin hernia using an endoscope (HCPCS:49650)
  • Complete exam of nose and sinuses using an endoscope (HCPCS:31253)
  • Incision to improve eye fluid flow (HCPCS:65820)
  • Removal of eye fluid (vitreous) between lens and retina (HCPCS:67036)
  • Removal of sphenoid nasal sinus tissue using an endoscope (HCPCS:31288)
  • Destruction of lens tissue using laser (HCPCS:66710)
  • Removal of gallbladder using an endoscope (HCPCS:47562)
  • Removal or relocation of corneal conjunctiva with graft (HCPCS:65426)
  • Reshaping of nasal cartilage (HCPCS:30520)
  • Repair of shoulder rotator cuff using an endoscope (HCPCS:29827)
  • Partial removal of collar bone at shoulder using an endoscope (HCPCS:29824)
  • Insertion of eye fluid drainage device (HCPCS:66183)
  • Insertion of central venous tube with port (5 years or older) (HCPCS:36561)
  • Removal of knee cartilage using an endoscope (HCPCS:29881)

The enumeration date for this NPI number is 6/30/2014 and was last updated on 1/26/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory SurgicalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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