Baylor Surgicare At North Dallas, LLC
Clinic/Center, Ambulatory Surgical in Dallas, TX. Organization (NPI-2).
NPI number1750347472
StatusActive
Last updated in NPPESOct 4, 2024
Details
- NPI
- 1750347472
- Entity type
- Organization (NPI-2)
- Legal business name
- Baylor Surgicare At North Dallas, LLC
- Organization subpart
- No
- Enumeration date
- Apr 21, 2006
- Certification date
- Oct 4, 2024
- Last updated
- Oct 4, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QA1903X | Clinic/Center, Ambulatory Surgical | 007298 | TX | Yes |
Other names
- Baylor Scott & White Surgicare-North Dallas (Doing Business As)
Practice location
12230 Coit RdSte 200
Dallas, TX 75251-2322
Phone 469-374-6400 · Fax 469-374-6419
Mailing address
14201 Dallas PkwyDallas, TX 75254-2916
Phone 469-374-6400 · Fax 469-374-6419
Authorized official
Peter Blach
Officer, Authorized Official
7133430832
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