Organization
FOUNDATION SURGERY AFFILIATE OF NACOGDOCHES LLC
Active
Other names
Nacogdoches Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
CARAH GODINEZ (CREDENTIALING MANAGER)
(817) 705-6517
Entity
Organization
Contact information
Practice address
3610 N UNIVERSITY DR, NACOGDOCHES, TX 75965-2539
(936) 560-9599
(936) 560-6933
Mailing address
3610 N UNIVERSITY DR, NACOGDOCHES, TX 75965-2539
(936) 560-9599
(936) 560-6933
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
007238
TX
Other
Enumeration date
11/15/2005
Last updated
01/21/2026
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