Kingsport Ambulatory Surgery Ctr in Dallas - Ambulatory Surgical
Kingsport Ambulatory Surgery Ctr - NPI 1053404574
Kingsport Ambulatory Surgery Ctr is a Ambulatory Surgical in Dallas, Texas. Kingsport Ambulatory Surgery Ctr practices all healthcare services and medical treatments related to Ambulatory Surgical. The NPI Number for Kingsport Ambulatory Surgery Ctr is 1053404574. The last update date is 2020-01-14.
Kingsport Ambulatory Surgery Ctr's current location address is 14201 Dallas Pkwy, Dallas, Texas. You can contact this provider via phone number 9727633859 and fax number 9729203445. The mailing address for Kingsport Ambulatory Surgery Ctr is 14201 Dallas Pkwy, Dallas, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kingsport Ambulatory Surgery Ctr |
|---|---|
| Address | 14201 Dallas Pkwy, Dallas, Texas |
| Phone Number | 9727633859 |
| Fax Number | 9729203445 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OFFICER/AU |
|---|---|
| Authorized Official Name | Moran D Jenetha |
| Telephone Number | 9727633893 |
NPI Number Detail
| NPI Number | 1053404574 |
|---|---|
| Provider Enumeration Date | 2006-10-02 |
| Last Updated Date | 2020-01-14 |
Provider Mailing Address Detail
| Address | 14201 Dallas Pkwy |
|---|---|
| City | Dallas |
| State | Texas (TX) |
| Post Code | 752542916 |
| Phone Number | 9727633859 |
| Fax Number | 9729203445 |
Provider's Primary Taxonomy Detail
| Speciality | Ambulatory Surgical |
|---|---|
| Taxonomy | 261Qa1903X |
| Licence No | 113 |
|
Definition: Provides outpatient surgical services not requiring hospitalization. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100032523 | PHP | ||
| 170411602 | TX | -- | |
| 36001311 | KY | -- | |
| A3766000 | JOHN DEERE | ||
| 227545 | ANTHEM | ||
| 3148953 | BLUE CROSS | ||
| 7603177 | VA | -- | |
| 91618800 | FL | -- | |
| 3288120 | TN | -- | |
| 7254600 | CIGNA |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Kingsport Ambulatory Surgery Ctr by the Centers for Medicare & Medicaid Services?
The Kingsport Ambulatory Surgery Ctr has been assigned the NPI (National Provider Identifier) 1053404574 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Kingsport Ambulatory Surgery Ctr?
The Kingsport Ambulatory Surgery Ctr is situated at 14201 Dallas Pkwy, in the city of Dallas, state of TX, with the zip code 752542916.
What is the area of specialization for Kingsport Ambulatory Surgery Ctr, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Kingsport Ambulatory Surgery Ctr is Ambulatory Surgical, and the corresponding taxonomy code that categorizes this area of expertise is 261Qa1903X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1053404574 to Kingsport Ambulatory Surgery Ctr?
The Centers for Medicare & Medicaid Services originally issued the 1053404574 to Kingsport Ambulatory Surgery Ctr on 2006-10-02.
When was the information regarding Kingsport Ambulatory Surgery Ctr, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Kingsport Ambulatory Surgery Ctr, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-01-14.
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