Cleburne Endoscopy Center, LLC
Clinic/Center, Ambulatory Surgical in Cleburne, TX. Organization (NPI-2).
NPI number1083000715
StatusActive
Last updated in NPPESAug 10, 2024
Details
- NPI
- 1083000715
- Entity type
- Organization (NPI-2)
- Legal business name
- Cleburne Endoscopy Center, LLC
- Organization subpart
- No
- Enumeration date
- Apr 9, 2015
- Certification date
- Aug 10, 2024
- Last updated
- Aug 10, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - AMBULATORY SURGICAL CENTER
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QA1903X | Clinic/Center, Ambulatory Surgical | – | – | Yes |
Practice location
1701 Walter Holiday DrSuite 100
Cleburne, TX 76033-1187
Phone 817-895-0095 · Fax 817-641-3355
Mailing address
1701 Walter Holiday DrSuite 100
Cleburne, TX 76033-1187
Phone 817-895-0095 · Fax 817-641-3355
Authorized official
Rina Ostrinsky
Chief Executive Officer
8178950095
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