Organization
REDBIRD SQUARE ENDOSCOPY CENTER LLC
Active
Other names
METHODIST SURGERY CENTER - REDBIRD GI, Digestive Health Center at Redbird Square
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER BOYD BALDOCK (VP AND AUTHORIZED OFFICIAL)
(615) 234-5954
Entity
Organization
Contact information
Practice address
3107 W CAMP WISDOM RD STE 189, DALLAS, TX 75237-2638
(214) 331-2922
(214) 331-0413
Mailing address
3107 W CAMP WISDOM RD STE 189, DALLAS, TX 75237-2638
(214) 331-2922
(214) 331-0413
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
007032
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
087966001
—
TX
Enumeration date
03/16/2006
Last updated
10/30/2025
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