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Organization
CENTRAL TEXAS DAY SURGERY CENTER LLC
Active
Organization
CENTRAL TEXAS DAY SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT A IRVINE (PRESIDENT)
(254) 245-9175
Entity
Organization
Contact information
Practice address
3800 S W S YOUNG DR STE 204, KILLEEN, TX 76542-3340
(254) 245-9175
(254) 213-7771
Mailing address
PO BOX 11538, KILLEEN, TX 76547-1538
(254) 245-9177
(254) 245-9178
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
130129
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
085869801
—
TX
01
—
490000381
CARE
TX
01
—
49004797
PALMETTO GBA
TX
01
—
HH1256
BLUE CROSS BLUE SHIELD
TX
Enumeration date
05/28/2006
Last updated
12/30/2024
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