Centennial Asc, Llc in Frisco - Ambulatory Surgical

Centennial Asc, Llc - NPI 1639146541

Centennial Asc, Llc is a Ambulatory Surgical in Frisco, Texas. Centennial Asc, Llc practices all healthcare services and medical treatments related to Ambulatory Surgical. The NPI Number for Centennial Asc, Llc is 1639146541. The last update date is 2018-08-27.

Centennial Asc, Llc's current location address is 4401 Coit Rd, Frisco, Texas. You can contact this provider via phone number 2146190120 and fax number 2146190121. The mailing address for Centennial Asc, Llc is 4401 Coit Rd, Frisco, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Organization Centennial Asc, Llc
Address 4401 Coit Rd, Frisco, Texas
Phone Number 2146190120
Fax Number 2146190121
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OFFICER /
Authorized Official Name Moran D Jenetha
Telephone Number 9727633893

NPI Number Detail

NPI Number 1639146541
Provider Enumeration Date 2006-03-01
Last Updated Date 2018-08-27

Provider Mailing Address Detail

Address 4401 Coit Rd
City Frisco
State Texas (TX)
Post Code 750350500
Phone Number 2146190120
Fax Number 2146190121

Provider's Primary Taxonomy Detail

Speciality Ambulatory Surgical
Taxonomy 261Qa1903X
Licence No 8203
Definition:
Provides outpatient surgical services not requiring hospitalization.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
HH065A TX BCBS OF TX
P00617261 TX RAILROAD MEDICARE

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FAQs about Centennial Asc, Llc

What is the Centennial Asc, Llc's unique identification number?

The Centennial Asc, Llc has been assigned the NPI (National Provider Identifier) Number 1639146541 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Can you provide the Centennial Asc, Llc's physical address?

The Centennial Asc, Llc is physically located at 4401 Coit Rd, in the city of Frisco, TX, with the postal code 750350500.

What is the Centennial Asc, Llc's area of specialization and corresponding taxonomy classification?

The Centennial Asc, Llc's specialty field is Ambulatory Surgical, and it falls under the taxonomy code 261Qa1903X, which categorizes healthcare providers based on their specialties.

When was the Centennial Asc, Llc's 1639146541 issued?

The Centennial Asc, Llc's 1639146541 was issued on 2006-03-01.

As of what date was the information regarding Centennial Asc, Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Centennial Asc, Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2018-08-27.

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