Organization Active NPI

Physicians Surgical Center of Ft. Worth, L.L.P

  • Ambulatory Surgical Clinic/Center
  • Fort Worth, TX
National Provider Identifier
1033399803
Registry record updated Nov 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
008484 Issued in TX
Legal business name
PHYSICIANS SURGICAL CENTER OF FT. WORTH, L.L.P
Practice address
975 Haskell St
Fort Worth, TX 76107-2653
Phone
(817) 570-0200
Fax
(817) 570-0280
NPI assigned
Nov 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2007

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

Authorized official

Name
Toni Wilson, RN MSN CASC
Title
Administrator
Phone
(817) 570-0203

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 008484 TX Primary

Addresses

Primary practice location

975 Haskell St
Fort Worth, TX 76107-2653

Mailing address

975 Haskell St
Fort Worth, TX 76107-2653
Phone (817) 570-0200

Other names 1

  • Physicians Surgical Center of Fort Worth Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ability Network2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1194566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194566400000",
    "number": "1033399803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 HASKELL ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761072653",
            "telephone_number": "817-570-0200",
            "fax_number": "817-570-0280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 HASKELL ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761072653",
            "telephone_number": "817-570-0200",
            "fax_number": "817-570-0280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS SURGICAL CENTER OF FT. WORTH, L.L.P",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-09",
        "last_updated": "2007-11-09",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "TONI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "817-570-0203",
        "authorized_official_credential": "RN MSN CASC"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": "008484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physicians Surgical Center of Fort Worth",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2007; 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.