Active NPI
Surgery Center of Garland, LLC
- Ambulatory Surgical Clinic/Center
- Dallas, TX
National Provider Identifier
1003978115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 008562
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 205810901 | Medicaid | TX |
Other names 1
- Precision Surgery Center of Dallas
National Provider Directory
National Provider DirectoryLocations
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.
-
- Surgery Physician
- McKinney, TX
- NPI 1215989827
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.