Teton Outpatient Services Llc in Dallas - Ambulatory Surgical

Teton Outpatient Services Llc - NPI 1689651481

Teton Outpatient Services Llc is a Ambulatory Surgical in Dallas, Texas. Teton Outpatient Services Llc practices all healthcare services and medical treatments related to Ambulatory Surgical. The NPI Number for Teton Outpatient Services Llc is 1689651481. The last update date is 2021-01-08.

Teton Outpatient Services Llc's current location address is 14201 Dallas Pkwy, Dallas, Texas. You can contact this provider via phone number 3077338677 and fax number 3077347365. The mailing address for Teton Outpatient Services Llc is 14201 Dallas Pkwy, Dallas, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Organization Teton Outpatient Services Llc
Address 14201 Dallas Pkwy, Dallas, Texas
Phone Number 3077338677
Fax Number 3077347365
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OFFICER/AU
Authorized Official Name Boon Eric
Telephone Number 4805670269

NPI Number Detail

NPI Number 1689651481
Provider Enumeration Date 2005-12-22
Last Updated Date 2021-01-08

Provider Mailing Address Detail

Address 14201 Dallas Pkwy
City Dallas
State Texas (TX)
Post Code 752542916
Phone Number 3077338677
Fax Number 3077347365

Provider's Primary Taxonomy Detail

Speciality Ambulatory Surgical
Taxonomy 261Qa1903X
Licence No 713016
Definition:
Provides outpatient surgical services not requiring hospitalization.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
113599600 WY --
490004244 WY RAILROAD MEDICARE

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FAQs about Teton Outpatient Services Llc

What is the unique 10-digit identifier code assigned to Teton Outpatient Services Llc by the Centers for Medicare & Medicaid Services?

The Teton Outpatient Services Llc has been issued the NPI (National Provider Identifier) 1689651481 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Teton Outpatient Services Llc?

The Teton Outpatient Services Llc is physically situated at 14201 Dallas Pkwy, in the city of Dallas, state of TX, with the postal code 752542916.

What is Teton Outpatient Services Llc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Teton Outpatient Services Llc is Ambulatory Surgical, and the taxonomy code that categorizes this field of expertise is 261Qa1903X.

On what date did Teton Outpatient Services Llc receive its 1689651481 assignment from the Centers for Medicare & Medicaid Services?

The Teton Outpatient Services Llc was assigned its 1689651481 on 2005-12-22, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the Teton Outpatient Services Llc's information last updated?

The Teton Outpatient Services Llc's information was last updated on 2021-01-08.

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