Organization
PRG DALLAS ASC, LLC
Active
Other names
Central Point Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER BOYD BALDOCK (OFFICER AND AUTHORIZED OFFICIAL)
(615) 234-5954
Entity
Organization
Contact information
Practice address
11442 N. CENTRAL EXPRESSWAY, DALLAS, TX 75243
(214) 754-0000
(214) 379-1849
Mailing address
11442 N. CENTRAL EXPRESSWAY, DALLAS, TX 75243
(214) 754-0000
(214) 379-1849
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
007966
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
087975101
—
TX
Enumeration date
06/25/2006
Last updated
02/09/2024
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