Organization
ROCKWALL AMBULATORY SURGERY CENTER LLP
Active
Other names
Baylor Scott & White Surgicare - Rockwall
Organization subpart
No
Provider details
NPI number
Authorized official
DONITA FLEMING (AUTHORIZED OFFICIAL)
(202) 815-3665
Entity
Organization
Contact information
Practice address
825 W YELLOWJACKET LANE, ROCKWALL, TX 75087-4818
(972) 772-6166
(972) 772-6167
Mailing address
825 W YELLOWJACKET LANE, ROCKWALL, TX 75087-4818
(972) 772-6166
(972) 772-6167
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
008418
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1900805
—
TX
Enumeration date
10/18/2006
Last updated
12/23/2024
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