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Organization
TEXAS HEALTH SURGERY CENTER PRESTON PLAZA, LLC
Active
Organization
TEXAS HEALTH SURGERY CENTER PRESTON PLAZA, LLC
Active
Other names
Texas Health Surgery Center Preston Plaza
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT T MACOMBER (EXECUTIVE VP AND CFO)
(312) 780-3234
Entity
Organization
Contact information
Practice address
17950 PRESTON RD, SUITE 75, DALLAS, TX 75252-5793
(972) 267-5400
(972) 267-0499
Mailing address
17950 PRESTON RD, DALLAS, TX 75252-5793
(972) 267-5400
(972) 267-0499
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
008328
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
183618101
—
TX
01
—
P00324944
RR MEDICARE
—
Enumeration date
05/19/2006
Last updated
03/24/2015
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