Gulfstream Surgical Fort Worth LLC
Clinic/Center, Ambulatory Surgical in Fort Worth, TX. Organization (NPI-2).
NPI number1144827114
StatusActive
Last updated in NPPESOct 2, 2020
Details
- NPI
- 1144827114
- Entity type
- Organization (NPI-2)
- Legal business name
- Gulfstream Surgical Fort Worth LLC
- Organization subpart
- No
- Enumeration date
- Oct 2, 2020
- Certification date
- Oct 2, 2020
- Last updated
- Oct 2, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- 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
975 Haskell StFort Worth, TX 76107-2653
Phone 214-695-6273
Mailing address
975 Haskell StFort Worth, TX 76107-2653
Phone 214-695-6273
Authorized official
Daniel D'Amico
Manager
2146956273
Is something wrong?
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