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GARLAND SURGICARE PARTNERS LTD. NPI 1396742029


NPI Information

NPI: 1396742029
Provider Name: GARLAND SURGICARE PARTNERS, LTD.

Doing Business As: BAYLOR SURGICARE AT GARLAND

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 45D0476680

Address:
530 CLARA BARTON BLVD
SUITE 100
GARLAND, TX
ZIP 75042
Phone: (972) 494-2400
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GARLAND SURGICARE PARTNERS, LTD. is an ambulatory surgical clinic center in Garland, TX. GARLAND SURGICARE PARTNERS, LTD. NPI is 1396742029. The provider is registered as an organization entity type.
The provider Is Doing Business As Baylor Surgicare At Garland.

The provider's business location address is:

530 CLARA BARTON BLVD
SUITE 100
GARLAND, TX
ZIP 75042-703
Phone: (972) 494-2400
Fax: (972) 494-3873

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

The CLIA number assigned to this NPI record is 45D0476680 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/7/2005 and was last updated on 10/5/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QA1903XClinic/CenterAmbulatory Surgical008512TEXASYes

Other Identifiers

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

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1008512OTHERTEXASFACILITY LICENSE
20192497901MEDICAIDTEXAS

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: 4/28/2024

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