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Organization

PHYSICIANS SURGICAL CENTER OF FT. WORTH LLP

Active
Other names
Baylor Scott & White Surgicare Fort Worth
Organization subpart
No

Provider details

NPI number
Authorized official
DONITA FLEMING (MEDICARE AUTHORIZED OFFICIAL)
(202) 815-3665
Entity
Organization

Contact information

Practice address
750 12TH AVE, FORT WORTH, TX 76104-2531
(817) 529-2620
(817) 877-1292
Mailing address
750 12TH AVE, FORT WORTH, TX 76104-2531
(817) 529-2620
(817) 877-1292

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
130267
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
174356901
TX
Enumeration date
03/01/2006
Last updated
02/09/2026
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