# PHYSICIANS SURGICAL CENTER OF FT. WORTH LLP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Baylor Scott & White Surgicare Fort Worth
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578530226
- **Authorized official:** DONITA FLEMING (MEDICARE AUTHORIZED OFFICIAL)
- **Authorized official phone:** (202) 815-3665

## Contact information

- **Practice address:** 750 12TH AVE, FORT WORTH, TX 76104-2531
- **Practice address phone:** (817) 529-2620
- **Practice address fax:** (817) 877-1292
- **Mailing address:** 750 12TH AVE, FORT WORTH, TX 76104-2531
- **Mailing address phone:** (817) 529-2620
- **Mailing address fax:** (817) 877-1292

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 130267 | TX | Yes |

## Other

- **Enumeration date:** 03/01/2006
- **Last updated:** 02/09/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 174356901 | — | TX |