Organization Active NPI

Texas Health Surgery Center Alliance, LLC

Doing business as Texas Health Surgery Center Alliance

  • Ambulatory Surgical Clinic/Center
  • Fort Worth, TX
National Provider Identifier
1104341254
Registry record updated May 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
TEXAS HEALTH SURGERY CENTER ALLIANCE, LLC
Doing business as
Texas Health Surgery Center Alliance
Practice address
10840 Texas Health TRL Ste 100
Fort Worth, TX 76244-6847
Phone
(877) 410-6290
NPI assigned
Aug 10, 2017
Last updated
May 31, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2023

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

Authorized official

Name
Anjanette Garrett
Title
Business Office Manager
Phone
(682) 803-0912

Specialties & licenses 1

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

Addresses

Primary practice location

10840 Texas Health TRL Ste 100
Fort Worth, TX 76244-6847

Mailing address

10840 Texas Health TRL Ste 100
Fort Worth, TX 76244-6847
Phone (682) 803-0914

Other names 1

  • Texas Health Surgery Center Alliance Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171207001108 TX Part B Supplier - Ambulatory Surgical Center 6507123106 Practice locations: Fort Worth, TX

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Texas Health Surgery Center AllianceCCN 45C0001543
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1502323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685491200000",
    "number": "1104341254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10840 TEXAS HEALTH TRL STE 100",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762446847",
            "telephone_number": "682-803-0914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10840 TEXAS HEALTH TRL STE 100",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762446847",
            "telephone_number": "877-410-6290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS HEALTH SURGERY CENTER ALLIANCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-10",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A",
        "authorized_official_last_name": "GARRETT",
        "authorized_official_first_name": "ANJANETTE",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "682-803-0912"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Texas Health Surgery Center Alliance",
            "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 May 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.