UROLOGY SURGERY CENTER OF TEXARKANA NPI 1972562940

NPI Information

NPI: 1972562940
Provider Name: UROLOGY SURGERY CENTER OF TEXARKANA

Doing Business As: SPECIALTY DAY SURGERY CENTER

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

Specialization: Ambulatory Surgical

Address:
1902 MOORES LN
SECOND FLOOR
TEXARKANA, TX
ZIP 75503
Phone: (903) 792-7515
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UROLOGY SURGERY CENTER OF TEXARKANA is an ambulatory surgical clinic center in Texarkana, TX. UROLOGY SURGERY CENTER OF TEXARKANA NPI is 1972562940. The provider is registered as an organization entity type.
The provider Is Doing Business As Specialty Day Surgery Center.

The provider's business location address is:

1902 MOORES LN
SECOND FLOOR
TEXARKANA, TX
ZIP 75503-610
Phone: (903) 792-7515
Fax: (903) 793-8225

The provider's authorized official is Vongphanet Joe Siharath .
The authorized official title is Administrator and has the following contact phone number (903) 792-7515.

The enumeration date for this NPI number is 3/20/2006 and was last updated on 8/22/2020.

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	008308	TEXAS	Yes

What is NPI?

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This page was last updated on: 5/5/2024

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