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BAYLOR SURGICARE AT ENNIS LLC NPI 1992008965


NPI Information

NPI: 1992008965
Provider Name: BAYLOR SURGICARE AT ENNIS LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
2200 PHYSICANS BLVD
SUITE A
ENNIS, TX
ZIP 75119
Phone: (972) 875-5538
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BAYLOR SURGICARE AT ENNIS LLC is an ambulatory surgical clinic center in Ennis, TX. BAYLOR SURGICARE AT ENNIS LLC NPI is 1992008965. The provider is registered as an organization entity type.

The provider's business location address is:

2200 PHYSICANS BLVD
SUITE A
ENNIS, TX
ZIP 75119-247
Phone: (972) 875-5538
Fax: (972) 875-8530

The provider's authorized official is Katherine L Reed .
The authorized official title is Authorized Official and has the following contact phone number (972) 763-3859.

The enumeration date for this NPI number is 12/14/2010 and was last updated on 8/19/2011.


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 Surgical008756TEXASYes

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
1ASC428MEDICARE PINTEXAS
2P00936810OTHERTEXASRAILROAD MEDICARE

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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