Organization
BAYLOR SURGICARE AT PLANO, LLC
Active
Other names
Baylor Scott & White Surgicare - Plano
Organization subpart
No
Provider details
NPI number
Authorized official
DONITA FLEMING (OFFICER/AUTHORIZED OFFICIAL)
(202) 815-3665
Entity
Organization
Contact information
Practice address
1701 OHIO DR, PLANO, TX 75093-5208
(214) 291-3000
(214) 291-3011
Mailing address
1701 OHIO DR, PLANO, TX 75093-5208
(214) 291-3000
(214) 291-3011
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
008585
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
192633901
—
TX
01
—
4877217200
DOL
TX
01
—
P00211064
RR MEDICARE
TX
Enumeration date
10/24/2007
Last updated
10/04/2024
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