SURGERY CENTER OF NORTHEAST TEXAS LLC NPI 1962772871

NPI Information

SURGERY CENTER OF NORTHEAST TEXAS LLC is an ambulatory surgical clinic center in Texarkana, TX. SURGERY CENTER OF NORTHEAST TEXAS LLC NPI is 1962772871. The provider is registered as an organization entity type.
The provider Is Doing Business As Surgery Center Of Northeast Texas.

The provider's business location address is:

1902 MOORES LN
SUITE, B
TEXARKANA, TX
ZIP 75503-610
Phone: (903) 792-2108
Fax: (903) 792-0606

The provider's authorized official is Jeffrey E. Snodgrass .
The authorized official title is President and has the following contact phone number (615) 665-1283.

The CLIA number assigned to this NPI record is 45D0894259 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/9/2012 and was last updated on 5/12/2022.

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:

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