Organization 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
National Provider Identifier
1235752643
Registry record updated May 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2020

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 CenterCCN 45C0001725
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1004914Southwest Fort Worth Endoscopy Center6317 Harris Parkway, Suite 100, Fort Worth, TX 76132Certificate of waiverOct 8, 2026
45D2184912Texas Health Surgery Center Southwest Fort Worth6317 Harris Parkway Suite 200, Fort Worth, TX 76132Certificate of waiverMay 26, 2028

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.