BRECKENRIDGE SURGERY CENTER LP NPI 1962568725

NPI Information

NPI: 1962568725
Provider Name: BRECKENRIDGE SURGERY CENTER LP
Classification: Clinic/Center - 261QA1903X
Specialization: Ambulatory Surgical
Entity Type: Organization
CLIA Number: 45D1038626
Address: 3201 E PRESIDENT GEORGE BUSH HWY
SUITE 100
RICHARDSON, TX
ZIP 75082
Phone: (972) 470-5859

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NPI Details

BRECKENRIDGE SURGERY CENTER LP is an ambulatory surgical clinic center in Richardson, TX. BRECKENRIDGE SURGERY CENTER LP NPI is 1962568725. The provider is registered as an organization entity type.

The provider's business location address is:

3201 E PRESIDENT GEORGE BUSH HWY
SUITE 100
RICHARDSON, TX
ZIP 75082-566
Phone: (972) 470-5859
Fax: (972) 470-5861

The provider's authorized official is Mamie Sue Clark .
The authorized official title is Or Director and has the following contact phone number (972) 470-5859.

The CLIA number assigned to this NPI record is 45D1038626 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/28/2006 and was last updated on 7/21/2022.

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		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	HHO67A	OTHER	TEXAS	BLUECROSS BLUE SHEILD
2	ASC239	OTHER	TEXAS	PTAN

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: 11/21/2025

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