# TEXARKANA AMBULATORY SURGERY CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205410651
- **Authorized official:** ELIZABETH WADDELL (ASC ADMINISTRATOR)
- **Authorized official phone:** (501) 766-1065

## Contact information

- **Practice address:** 5950 SUMMERHILL RD, SUITE B, TEXARKANA, TX 75503
- **Practice address phone:** (501) 773-6993
- **Practice address fax:** (888) 630-8885
- **Mailing address:** 108 N SHACKLEFORD RD, LITTLE ROCK, AR 72211-2840
- **Mailing address phone:** (844) 215-0731
- **Mailing address fax:** (888) 630-8885

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/11/2021
- **Last updated:** 05/11/2021