ROCKWALL AMBULATORY SURGERY CENTER LLP NPI 1891788584

NPI Information

NPI: 1891788584
Provider Name: ROCKWALL AMBULATORY SURGERY CENTER LLP
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 45D2191688

Address:
6435 S FM 549
STE 101
HEATH, TX
ZIP 75032
Phone: (972) 722-9003
Get Directions

ROCKWALL AMBULATORY SURGERY CENTER LLP is an ambulatory surgical clinic center in Heath, TX. ROCKWALL AMBULATORY SURGERY CENTER LLP NPI is 1891788584. The provider is registered as an organization entity type.

The provider's business location address is:

6435 S FM 549
STE 101
HEATH, TX
ZIP 75032-221
Phone: (972) 722-9003
Fax: (972) 722-9004

The provider's authorized official is Ginger White .
The authorized official title is Administrator and has the following contact phone number (972) 772-6166.

The CLIA number assigned to this NPI record is 45D2191688 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/26/2005 and was last updated on 1/14/2020.

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	008119	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	1710188	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: 4/28/2024

NPI Synchronization or Removal

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