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TEXAS ENDOSCOPY CENTERS LLC NPI 1902218456


NPI Information

NPI: 1902218456
Provider Name: TEXAS ENDOSCOPY CENTERS, LLC

Doing Business As: TEXAS ENDOSCOPY AT INDEPENDENCE MEDICAL VILLAGE

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

Specialization: Ambulatory Surgical

CLIA Number: 45D1034646

Address:
8080 INDEPENDENCE PKWY
STE 160
PLANO, TX
ZIP 75025
Phone: (972) 908-3000
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TEXAS ENDOSCOPY CENTERS, LLC is an ambulatory surgical clinic center in Plano, TX. TEXAS ENDOSCOPY CENTERS, LLC NPI is 1902218456. The provider is registered as an organization entity type.
The provider Is Doing Business As Texas Endoscopy At Independence Medical Village.

The provider's business location address is:

8080 INDEPENDENCE PKWY
STE 160
PLANO, TX
ZIP 75025-000
Phone: (972) 908-3000
Fax: (972) 908-3030

The provider's authorized official is Jenetha D Moran .
The authorized official title is Officer / Authorized Official and has the following contact phone number (972) 763-3893.

The CLIA number assigned to this NPI record is 45D1034646 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/2/2014 and was last updated on 10/19/2016.


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 Surgical130197TEXASYes

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
1533967MEDICARE UPIN
245C0001391MEDICARE OSCAR/CERTIFICATIONTEXAS

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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