Organization
LEWISVILLE SURGICARE PARTNERS, LTD
Active
Other names
Baylor Surgicare at Lewisville
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE L. REED (OFFICER/MEDICARE AUTHORIZED OFFICIA)
(972) 763-3859
Entity
Organization
Contact information
Practice address
1854 LAKEPOINTE DR, LEWISVILLE, TX 75057-6442
(972) 315-1401
(972) 315-9242
Mailing address
1854 LAKEPOINTE DR, LEWISVILLE, TX 75057-6442
(972) 315-1401
(972) 315-9242
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
007876
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
490005533
RAILROAD MEDICARE
TX
Enumeration date
06/08/2005
Last updated
09/25/2014
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