Organization
METROCREST SURGERY CENTER LP
Active
Other names
Baylor Surgicare at Carrollton, Baylor Scott & White Surgicare - Carrollton
Organization subpart
No
Provider details
NPI number
Authorized official
DONITA FLEMING (OFFICER/AUTHORIZED OFFICIAL)
(202) 815-3665
Entity
Organization
Contact information
Practice address
4780 N JOSEY LN, CARROLLTON, TX 75010-4615
(972) 395-0440
(972) 395-0460
Mailing address
14201 DALLAS PKWY, DALLAS, TX 75254-2916
(972) 395-0440
(972) 395-0460
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
7914
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
161167501
—
TX
01
—
7573453
AETNA
TX
01
—
HH015A
BCBS
TX
01
—
P00081899
RAILROAD MEDICARE
TX
Enumeration date
07/15/2005
Last updated
06/16/2025
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