Organization
DESOTO SURGICARE PARTNERS, LTD
Active
Other names
North Texas Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
DONITA FLEMING (MEDICARE AUTHORIZED OFFICIAL)
(202) 815-3665
Entity
Organization
Contact information
Practice address
7992 W VIRGINIA DR, DALLAS, TX 75237-3764
(972) 283-2400
(972) 283-0099
Mailing address
7992 W VIRGINIA DR, DALLAS, TX 75237-3764
(972) 283-2400
(972) 283-0099
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
000354
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
490003162
RAILROAD MEDICARE
TN
05
—
Z04512051
—
TX
Enumeration date
06/10/2005
Last updated
01/16/2025
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