TEXOMA OUTPATIENT SURGERY CENTER INC. NPI 1154322600

NPI Information

TEXOMA OUTPATIENT SURGERY CENTER, INC. is an ambulatory surgical clinic center in Wichita Falls, TX. TEXOMA OUTPATIENT SURGERY CENTER, INC. NPI is 1154322600. The provider is registered as an organization entity type.

The provider's business location address is:

1712 11TH ST
WICHITA FALLS, TX
ZIP 76301-020
Phone: (940) 723-2499
Fax: (940) 723-2497

The provider's authorized official is Phillip W. Kelly .
The authorized official title is President/medical Director and has the following contact phone number (940) 723-2499.

The CLIA number assigned to this NPI record is 45D0894518 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/9/2005 and was last updated on 7/17/2007.

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:

Other Identifiers

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