Organization
VALLEY BAPTIST AMBULATORY SURGERY CENTER, LLC
Active
Other names
Platinum Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
NORMA EDITH GUTIERREZ RHIT (BILLER/CLAIMS SPECIALIST)
(956) 389-6000
Entity
Organization
Contact information
Practice address
2220 PEASE ST, HARLINGEN, TX 78550-8308
(956) 389-6000
(956) 389-6015
Mailing address
2220 PEASE ST, HARLINGEN, TX 78550-8308
(956) 389-6000
(956) 389-6015
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
000380
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0879470-01
—
TX
05
—
087947002
—
TX
01
—
490004156
MEDICARE RAILROAD
TX
Enumeration date
09/17/2006
Last updated
07/08/2019
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