Organization Active NPI

Surgery Center of Garland, LLC

  • Ambulatory Surgical Clinic/Center
  • Dallas, TX
National Provider Identifier
1003978115
Registry record updated Dec 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
008562 Issued in TX
Legal business name
SURGERY CENTER OF GARLAND, LLC
Practice address
12610 E Northwest Highway
Dallas, TX 75228-8010
Phone
(972) 681-7723
Fax
(972) 682-3332
NPI assigned
Dec 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jill Thrasher
Title
Administrator
Phone
(972) 681-7723

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X
Ambulatory Surgical Clinic/Center 261QA1903X 008562 TX Primary

Addresses

Primary practice location

12610 E Northwest Highway
Dallas, TX 75228-8010

Mailing address

12610 E Northwest Highway
Dallas, TX 75228-8010
Phone (972) 681-7723

Other identifiers 1

IdentifierTypeStateIssuer
205810901MedicaidTX

Other names 1

  • Precision Surgery Center of Dallas Doing business as

National Provider Directory

National Provider Directory

Locations

12610 E Northwest Hwy
Ste 100
Dallas, TX 75228
Phone (972) 681-7723

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291248000000",
    "number": "1003978115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12610 E NORTHWEST HIGHWAY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752288010",
            "telephone_number": "972-681-7723",
            "fax_number": "972-682-3332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12610 E NORTHWEST HIGHWAY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752288010",
            "telephone_number": "972-681-7723",
            "fax_number": "972-682-3332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGERY CENTER OF GARLAND, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2010-12-02",
        "status": "A",
        "authorized_official_last_name": "THRASHER",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "972-681-7723"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": "008562",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205810901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Precision Surgery Center of Dallas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.