Organization
TEXARKANA SURGERY CENTER LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY E. SNODGRASS (OFFICER AND AUTHORIZED OFFICIAL)
(615) 665-1283
Entity
Organization
Contact information
Practice address
5404 SUMMERHILL RD, TEXARKANA, TX 75503-4607
(903) 793-4872
(615) 234-1720
Mailing address
1A BURTON HILLS BLVD STE 300, NASHVILLE, TN 37215-6153
(615) 263-5391
(615) 234-1720
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
006923
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
085951401
—
TX
05
—
100755270-A
—
OK
01
—
10521
ARKANSAS BCBS
AR
05
—
136441128
—
AR
01
—
2317C
LOUISANA BCBS
LA
01
—
HH1367
TEXAS BCBS
TX
Enumeration date
06/24/2005
Last updated
04/17/2025
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