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Organization
TEXAS HEALTH OUTPATIENT SURGERY CENTER ALLIANCE
Active
Organization
TEXAS HEALTH OUTPATIENT SURGERY CENTER ALLIANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID SALSBERRY (CHIEF REVENUE OFFICER)
(682) 236-6485
Entity
Organization
Contact information
Practice address
10840 TEXAS HEALTH TRL, SUITE 100, FORT WORTH, TX 76244-6846
(682) 212-5100
(817) 693-2510
Mailing address
10840 TEXAS HEALTH TRL, SUITE 100, FORT WORTH, TX 76244-6846
(682) 236-3000
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
103128
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
316285101
—
TX
01
—
HH259A
BCBSA
TX
Enumeration date
05/16/2012
Last updated
08/16/2019
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