HYDE PARK SURGERY CENTER LLC NPI 1962671487

NPI Information

HYDE PARK SURGERY CENTER, LLC is an ambulatory surgical clinic center in Austin, TX. HYDE PARK SURGERY CENTER, LLC NPI is 1962671487. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Hyde Park Surgery Center, Lp.

The provider's business location address is:

4611 GUADALUPE ST., SUITE 100
AUSTIN, TX
ZIP 78751-908
Phone: (512) 420-2303
Fax: (512) 420-2379

The provider's authorized official is Teresa Danna .
The authorized official title is Officer/authorized Official and has the following contact phone number (972) 763-3890.

The CLIA number assigned to this NPI record is 45D1080997 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/28/2008 and was last updated on 6/3/2020.

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:

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