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DALLAS SURGICAL PARTNERS LLC NPI 1811995913


NPI Information

NPI: 1811995913
Provider Name: DALLAS SURGICAL PARTNERS, LLC

Doing Business As: BAYLOR SCOTT & WHITE SURGICARE

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

Specialization: Ambulatory Surgical

CLIA Number: 45D2130712

Address:
3920 WORTH STREET
DALLAS, TX
ZIP 75246
Phone: (214) 820-2581
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DALLAS SURGICAL PARTNERS, LLC is an ambulatory surgical clinic center in Dallas, TX. DALLAS SURGICAL PARTNERS, LLC NPI is 1811995913. The provider is registered as an organization entity type.
The provider Is Doing Business As Baylor Scott & White Surgicare.

The provider's business location address is:

3920 WORTH STREET
DALLAS, TX
ZIP 75246-699
Phone: (214) 820-2581
Fax: (214) 820-7484

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 45D2130712 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/12/2005 and was last updated on 8/4/2021.


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 Surgical007062TEXASYes

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
1087970201MEDICAIDTEXAS

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

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