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PHYSICIANS SURGICAL CENTER OF FT. WORTH LLP NPI 1578530226


NPI Information

NPI: 1578530226
Provider Name: PHYSICIANS SURGICAL CENTER OF FT. WORTH LLP

Doing Business As: BAYLOR SCOTT & WHITE SURGICARE FORT WORTH

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

Specialization: Ambulatory Surgical

Address:
750 12TH AVE
FORT WORTH, TX
ZIP 76104
Phone: (817) 529-2620
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PHYSICIANS SURGICAL CENTER OF FT. WORTH LLP is an ambulatory surgical clinic center in Fort Worth, TX. PHYSICIANS SURGICAL CENTER OF FT. WORTH LLP NPI is 1578530226. The provider is registered as an organization entity type.
The provider Is Doing Business As Baylor Scott & White Surgicare Fort Worth.

The provider's business location address is:

750 12TH AVE
FORT WORTH, TX
ZIP 76104-531
Phone: (817) 529-2620
Fax: (817) 877-1292

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

The enumeration date for this NPI number is 3/1/2006 and was last updated on 3/18/2019.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QA1903XClinic/CenterAmbulatory Surgical130267TEXASYes

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
1174356901MEDICAIDTEXAS

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.