MERCY AMBULATORY SURGERY CENTER OF DALLAS NPI 1164937272

NPI Information

NPI: 1164937272
Provider Name: MERCY AMBULATORY SURGERY CENTER OF DALLAS
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 45D2151440

Address:
12606 GREENVILLE AVE
DALLAS, TX
ZIP 75243
Phone: (972) 982-7887
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MERCY AMBULATORY SURGERY CENTER OF DALLAS is an ambulatory surgical clinic center in Dallas, TX. MERCY AMBULATORY SURGERY CENTER OF DALLAS NPI is 1164937272. The provider is registered as an organization entity type.

The provider's business location address is:

12606 GREENVILLE AVE
DALLAS, TX
ZIP 75243-921
Phone: (972) 982-7887
Fax: (972) 982-7058

The provider's authorized official is Lance Hoover .
The authorized official title is Owner and has the following contact phone number (210) 737-4406.

The CLIA number assigned to this NPI record is 45D2151440 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/12/2017 and was last updated on 12/12/2017.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical	130355	TEXAS	Yes

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: 11/14/2023

NPI Synchronization or Removal

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