Organization
TEXAS HEALTH OUTPATIENT SURGERY CENTER ALLIANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID SALSBERRY (CHIEF REVENUE OFFICER)
(682) 236-6485
Entity
Organization
Contact information
Practice address
10840 TEXAS HEALTH TRL, SUITE 100, FORT WORTH, TX 76244-6846
(682) 212-5100
(817) 693-2510
Mailing address
10840 TEXAS HEALTH TRL, SUITE 100, FORT WORTH, TX 76244-6846
(682) 236-3000
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
103128
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
316285101
—
TX
01
—
HH259A
BCBSA
TX
Enumeration date
05/16/2012
Last updated
08/16/2019
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