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PHYSICIANS SURGICAL CENTER OF FT. WORTH LLP NPI 1992901847


NPI Information

NPI: 1992901847
Provider Name: PHYSICIANS SURGICAL CENTER OF FT. WORTH LLP

Doing Business As: BAYLOR SURGICARE AT FORT WORTH II

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

Specialization: Ambulatory Surgical

CLIA Number: 45D1027102

Address:
2001 COOPER ST
FORT WORTH, TX
ZIP 76104
Phone: (817) 529-2620
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PHYSICIANS SURGICAL CENTER OF FT. WORTH LLP is an ambulatory surgical clinic center in Fort Worth, TX. PHYSICIANS SURGICAL CENTER OF FT. WORTH LLP NPI is 1992901847. The provider is registered as an organization entity type.
The provider Is Doing Business As Baylor Surgicare At Fort Worth Ii.

The provider's business location address is:

2001 COOPER ST
FORT WORTH, TX
ZIP 76104-529
Phone: (817) 529-2620
Fax: (817) 877-1292

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

The CLIA number assigned to this NPI record is 45D1027102 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/26/2007 and was last updated on 12/22/2014.


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 Surgical008533TEXASYes

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
1ASC399MEDICARE PIN
245C0001256MEDICARE OSCAR/CERTIFICATION

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.