BAYLOR SURGICARE AT NORTH DALLAS LLC NPI 1750347472

NPI Information

BAYLOR SURGICARE AT NORTH DALLAS, LLC is an ambulatory surgical clinic center in Dallas, TX. BAYLOR SURGICARE AT NORTH DALLAS, LLC NPI is 1750347472. The provider is registered as an organization entity type.
The provider Is Doing Business As Baylor Scott & White Surgicare-north Dallas.

The provider's business location address is:

12230 COIT RD
STE 200
DALLAS, TX
ZIP 75251-322
Phone: (469) 374-6400
Fax: (469) 374-6419

The provider's authorized official is Peter Blach .
The authorized official title is Officer, Authorized Official and has the following contact phone number (713) 343-0832.

The CLIA number assigned to this NPI record is 45D0481297 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/21/2006 and was last updated on 1/7/2021.

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:

Other Identifiers

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