Active NPI
Texas Health Surgery Center Southwest Fort Worth, LLC
Doing business as Texas Health Joint Replacement Surgery Center
- Ambulatory Surgical Clinic/Center
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- TEXAS HEALTH SURGERY CENTER SOUTHWEST FORT WORTH, LLC
- Doing business as
- Texas Health Joint Replacement Surgery Center
- Practice address
- 6317 Harris Pkwy Ste 200
Fort Worth, TX 76132-4257 - Phone
- (214) 402-8581
- NPI assigned
- May 20, 2020
- Last updated
- May 20, 2020
- 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
- Claire Thibodeaux
- Title
- Chief Administrative Officer
- Phone
- (214) 402-8581
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
6317 Harris Pkwy Ste 200
Fort Worth, TX 76132-4257
Mailing address
6317 Harris Pkwy Ste 200
Fort Worth, TX 76132-4257
Phone (214) 402-8581
Other names 1
- Texas Health Joint Replacement Surgery Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200813000976 | TX | Part B Supplier - Ambulatory Surgical Center | 8022434638 | Practice locations: Fort Worth, TX |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Texas Health Joint Replacement Surgery Center
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D1004914 | Southwest Fort Worth Endoscopy Center | Certificate of waiver | Oct 8, 2026 |
| 45D2184912 | Texas Health Surgery Center Southwest Fort Worth | Certificate of waiver | May 26, 2028 |
National Provider Directory
National Provider DirectoryLocations
6317 Harris Pkwy
Ste 200
Fort Worth, TX 76132
Phone (833) 712-0756
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.
-
- Orthopaedic Surgery Physician
- Fort Worth, TX
- NPI 1437155942
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589932800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1589932800000",
"number": "1235752643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6317 HARRIS PKWY STE 200",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761324257",
"telephone_number": "214-402-8581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6317 HARRIS PKWY STE 200",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761324257",
"telephone_number": "214-402-8581"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TEXAS HEALTH SURGERY CENTER SOUTHWEST FORT WORTH, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-05-20",
"last_updated": "2020-05-20",
"certification_date": "2020-05-20",
"status": "A",
"authorized_official_last_name": "THIBODEAUX",
"authorized_official_first_name": "CLAIRE",
"authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
"authorized_official_telephone_number": "214-402-8581"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Texas Health Joint Replacement Surgery Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fort Worth, TX
- Texas Health Physicians Group
- Texas Health Specialty Hospital Fort Worth
- Texas Health Spine Surgery Center Alliance LLC
- Texas Health Surgery Center Alliance, LLC (Texas Health Surgery Center Alliance)
- Texas Health Surgery Center Chisholm Trail, LLC
- Texas Health Urgent Care (Texas Health Breeze Urgent Care)
- Texas Health Urgent Care (Texas Health Breeze Urgent Care)
- Texas Health Urgent Care (Texas Health Breeze Urgent Care)
- Texas Health Urgent Care (Texas Health Breeze Urgent Care)
- Texas Health, LLC (Injury 1 of Dallas)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2020; 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.