Organization
HEALTHTEXAS PROVIDER NETWORK
Active
Other names
Baylor Ambulatory Endoscopy Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDA ZAHN (ADMINISTRATOR)
(972) 758-4953
Entity
Organization
Contact information
Practice address
4708 ALLIANCE BLVD, PLANO, TX 75093-5337
(972) 758-4950
(972) 758-4955
Mailing address
4708 ALLIANCE BLVD, PLANO, TX 75093-5337
(972) 758-4950
(972) 758-4955
Taxonomy
Speciality
Code
Description
License number
State
261QE0800X
Endoscopy Clinic/Center
Primary
008136
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008136
TEXAS DEPARTMENT OF STATE
TX
05
—
172266201
—
TX
01
—
67394
AAAHC
TX
01
—
HH035A
BCBS PROVIDER
TX
Enumeration date
04/10/2006
Last updated
05/12/2009
Update your record
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