DOCTORS SURGERY CENTER OF TEXARKANA NPI 1275574154

NPI Information

DOCTORS SURGERY CENTER OF TEXARKANA is an ambulatory surgical clinic center in Texarkana, AR. DOCTORS SURGERY CENTER OF TEXARKANA NPI is 1275574154. The provider is registered as an organization entity type.
The provider Other Name Is Doctor's Surgery Center.

The provider's business location address is:

3211 SUGAR HILL ROAD
SUITE 200
TEXARKANA, AR
ZIP 71854-219
Phone: (870) 772-4440
Fax: (870) 772-7190

The provider's authorized official is Harold L. Pearson .
The authorized official title is Owner/m.d. and has the following contact phone number (870) 772-4440.

The CLIA number assigned to this NPI record is 04D2050772 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/9/2006 and was last updated on 2/1/2012.

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

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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