PARK HILL SURGERY CENTER LLC NPI 1093120859

NPI Information

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 enumeration date for this NPI number is 6/30/2014 and was last updated on 3/20/2017.

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:

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