SURGEYECARE INC. NPI 1578679726

NPI Information

NPI: 1578679726
Provider Name: SURGEYECARE, INC.

Doing Business As: SURGEYECARE GENERAL PARTNERSHIP

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

Specialization: Ambulatory Surgical

Address:
5421 LA SIERRA DR
DALLAS, TX
ZIP 75231
Phone: (214) 361-1443
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SURGEYECARE, INC. is an ambulatory surgical clinic center in Dallas, TX. SURGEYECARE, INC. NPI is 1578679726. The provider is registered as an organization entity type.
The provider Is Doing Business As Surgeyecare General Partnership.

The provider's business location address is:

5421 LA SIERRA DR
DALLAS, TX
ZIP 75231-107
Phone: (214) 361-1443
Fax: (214) 691-3299

The provider's authorized official is Hallie Bledsue .
The authorized official title is Coo and has the following contact phone number (214) 361-1443.

The CLIA number assigned to this NPI record is 45D1044991 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/21/2006 and was last updated on 3/24/2015.

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	007861	TEXAS	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	007861	OTHER	TEXAS	STATE LICENSE
2	451083	MEDICARE ID-TYPE UNSPECIFIED	TEXAS
3	085901901	MEDICAID	TEXAS

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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