Organization
BAYLOR SURGICARE AT MANSFIELD, LLC
Active
Other names
Baylor Scott & White Surgicare - Mansfield
Organization subpart
No
Provider details
NPI number
Authorized official
PETER BLACH (OFFICER/AUTHORIZED OFFICIAL)
(713) 343-0832
Entity
Organization
Contact information
Practice address
280 REGENCY PKWY, MANSFIELD, TX 76063-7823
(817) 453-2744
(817) 842-0007
Mailing address
280 REGENCY PKWY, MANSFIELD, TX 76063-7823
(817) 453-2744
(817) 842-0007
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
130056
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00847625
RAILROAD MEDICARE PTAN
TX
Enumeration date
02/09/2010
Last updated
11/21/2025
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