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METROCREST SURGERY CENTER LP NPI 1780683490


NPI Information

NPI: 1780683490
Provider Name: METROCREST SURGERY CENTER LP

Doing Business As: BAYLOR SURGICARE AT CARROLLTON

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

Specialization: Ambulatory Surgical

Address:
4780 N JOSEY LN
CARROLLTON, TX
ZIP 75010
Phone: (972) 395-0440
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METROCREST SURGERY CENTER LP is an ambulatory surgical clinic center in Carrollton, TX. METROCREST SURGERY CENTER LP NPI is 1780683490. The provider is registered as an organization entity type.
The provider Is Doing Business As Baylor Surgicare At Carrollton.

The provider's business location address is:

4780 N JOSEY LN
CARROLLTON, TX
ZIP 75010-615
Phone: (972) 395-0440
Fax: (972) 395-0460

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 enumeration date for this NPI number is 7/15/2005 and was last updated on 1/6/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QA1903XClinic/CenterAmbulatory Surgical7914TEXASYes

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
1161167501MEDICAIDTEXAS
27573453OTHERTEXASAETNA
3HH015AOTHERTEXASBCBS
4P00081899OTHERTEXASRAILROAD MEDICARE

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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