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 |
Post Comment/ Review Below
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.