CENTER FOR PEDIATRIC SURGERY LTD NPI 1801847728

NPI Information

  • NPI: 1801847728
  • Provider Name: CENTER FOR PEDIATRIC SURGERY LTD
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Doing Business As: COOK CHILDRENS PEDIATRIC SURGERY CENTER
  • CLIA Number: 45D1036103
  • Address: 4200 W UNIVERSITY DR STE 110
    PROSPER, TX
    ZIP 75078
  • Phone: (972) 300-0215

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NPI Details

CENTER FOR PEDIATRIC SURGERY LTD is an ambulatory surgical clinic center in Prosper, TX. CENTER FOR PEDIATRIC SURGERY LTD NPI is 1801847728. The provider is registered as an organization entity type.
The provider Is Doing Business As Cook Childrens Pediatric Surgery Center.

The provider's business location address is:

4200 W UNIVERSITY DR STE 110
PROSPER, TX
ZIP 75078-805
Phone: (972) 300-0215
Fax: (972) 300-0231

The provider's authorized official is Lisa Mcmillen .
The authorized official title is Administrator and has the following contact phone number (972) 300-0215.

The CLIA number assigned to this NPI record is 45D1036103 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/15/2006 and was last updated on 4/8/2021.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory SurgicalYes

What is NPI?

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This page was last updated on: 11/21/2025

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