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Organization
LEWISVILLE SURGICARE PARTNERS, LTD
Active
Organization
LEWISVILLE SURGICARE PARTNERS, LTD
Active
Other names
Baylor Surgicare at Lewisville
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE L. REED (OFFICER/MEDICARE AUTHORIZED OFFICIA)
(972) 763-3859
Entity
Organization
Contact information
Practice address
1854 LAKEPOINTE DR, LEWISVILLE, TX 75057-6442
(972) 315-1401
(972) 315-9242
Mailing address
1854 LAKEPOINTE DR, LEWISVILLE, TX 75057-6442
(972) 315-1401
(972) 315-9242
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
007876
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
490005533
RAILROAD MEDICARE
TX
Enumeration date
06/08/2005
Last updated
09/25/2014
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