PARKWAY SURGERY CENTER LLC. NPI 1366446189

NPI Information

PARKWAY SURGERY CENTER, LLC. is an ambulatory surgical clinic center in Henderson, NV. PARKWAY SURGERY CENTER, LLC. NPI is 1366446189. The provider is registered as an organization entity type.
The provider Other Name Is Parkway Surgery Center.

The provider's business location address is:

100 N GREEN VALLEY PKWY
STE 125
HENDERSON, NV
ZIP 89074-392
Phone: (702) 616-4954
Fax: (702) 269-0436

The provider's authorized official is Jenetha D Moran .
The authorized official title is Officer / Authorized Official and has the following contact phone number (972) 763-3893.

The CLIA number assigned to this NPI record is 29D0964476 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/9/2005 and was last updated on 9/10/2019.

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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