MONTFORT SURGICAL CENTER LLC NPI 1437664406

NPI Information

NPI: 1437664406
Provider Name: MONTFORT SURGICAL CENTER LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 45D2143209

Address:
5520 LBJ FWY STE 150
DALLAS, TX
ZIP 75240
Phone: (972) 331-0718
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MONTFORT SURGICAL CENTER LLC is an ambulatory surgical clinic center in Dallas, TX. MONTFORT SURGICAL CENTER LLC NPI is 1437664406. The provider is registered as an organization entity type.

The provider's business location address is:

5520 LBJ FWY STE 150
DALLAS, TX
ZIP 75240-313
Phone: (972) 331-0718

The provider's authorized official is Haroon Ilyas Rasheed .
The authorized official title is Owner and has the following contact phone number (972) 636-5727.

The CLIA number assigned to this NPI record is 45D2143209 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/12/2017 and was last updated on 10/4/2021.

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			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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