# BAYLOR SURGICARE AT DUNCANVILLE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Surgery Center of Duncanville
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871803999
- **Authorized official:** JENETHA MORAN (PARALEGAL)
- **Authorized official phone:** (972) 763-3893

## Contact information

- **Practice address:** 1018 E WHEATLAND RD, DUNCANVILLE, TX 75116-4914
- **Practice address phone:** (972) 296-6912
- **Practice address fax:** (972) 296-1387
- **Mailing address:** 1018 E WHEATLAND RD, DUNCANVILLE, TX 75116-4914
- **Mailing address phone:** (972) 296-6912
- **Mailing address fax:** (972) 296-1387

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 007245 | TX | Yes |

## Other

- **Enumeration date:** 10/08/2010
- **Last updated:** 05/20/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 007245 | LICENSE | TX |