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COMPLETE SURGERY MESQUITE LLC NPI 1457823122


NPI Information

NPI: 1457823122
Provider Name: COMPLETE SURGERY MESQUITE LLC

Doing Business As: COMPLETE SURGERY MESQUITE, LLC

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

Specialization: Ambulatory Surgical

CLIA Number: 45D2157535

Address:
3400 IH 30 STE 300
MESQUITE, TX
ZIP 75150
Phone: (214) 310-7776
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COMPLETE SURGERY MESQUITE LLC is an ambulatory surgical clinic center in Mesquite, TX. COMPLETE SURGERY MESQUITE LLC NPI is 1457823122. The provider is registered as an organization entity type.
The provider Is Doing Business As Complete Surgery Mesquite, Llc.

The provider's business location address is:

3400 IH 30 STE 300
MESQUITE, TX
ZIP 75150-601
Phone: (214) 310-7776

The provider's authorized official is Aurora Quiroz .
The authorized official title is Vp Revenue Cycle and has the following contact phone number (281) 899-9380.

The CLIA number assigned to this NPI record is 45D2157535 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/19/2018 and was last updated on 5/17/2023.


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 SurgicalYes

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
11194928846MEDICAIDTEXAS

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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