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Organization

TEXAS HEALTH SURGERY CENTER PRESTON PLAZA, LLC

Active
Other names
Texas Health Surgery Center Preston Plaza
Organization subpart
No

Provider details

NPI number
Authorized official
MR. SCOTT T MACOMBER (EXECUTIVE VP AND CFO)
(312) 780-3234
Entity
Organization

Contact information

Practice address
17950 PRESTON RD, SUITE 75, DALLAS, TX 75252-5793
(972) 267-5400
(972) 267-0499
Mailing address
17950 PRESTON RD, DALLAS, TX 75252-5793
(972) 267-5400
(972) 267-0499

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
008328
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
183618101
TX
01
P00324944
RR MEDICARE
Enumeration date
05/19/2006
Last updated
03/24/2015
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