San-Sun 2014 Series LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SAN-SUN 2014 SERIES LLC

Practice address

1815 Tenth Street
Wichita Falls, TX 76301-5054

Phone

(940) 767-0818

Fax

(940) 763-8096

NPI assigned

May 9, 2023

Organization subpart

No

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

Authorized official

Name

Elda Navarro

Title

Practice Credentialing Manager

Phone

(281) 850-6398

Specialties & licenses 1

Addresses

Other names 1

• Texoma Day Surgery Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Listed as

San Sun 2014 Series LLC Dba Texoma Day SurgeryCCN 45C0451291

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

• Corinth Investor Holdings LLC

  • Rehabilitation Hospital Unit
  • Denton, TX
  • NPI 1376168724

  Member Of

  NPD member
• Corinth Investor Holdings, LLC

  • Long Term Care Hospital
  • Denton, TX
  • NPI 1235374612

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1683590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689033600000",
    "number": "1336839893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 10TH ST",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763014430",
            "telephone_number": "940-767-0818",
            "fax_number": "940-763-8096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 TENTH STREET",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763015054",
            "telephone_number": "940-767-0818",
            "fax_number": "940-763-8096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN-SUN 2014 SERIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-09",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A",
        "authorized_official_last_name": "NAVARRO",
        "authorized_official_first_name": "ELDA",
        "authorized_official_title_or_position": "PRACTICE CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "281-850-6398"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Texoma Day Surgery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Texoma Day Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Salfiti Wichita Falls Pharmacy Inc.
• Siby Sam
• Sam'S Club Optical
• Sams East Inc
• Bradley E Samuelson, M.D
• Shelby Sanborn
• Henry Richard Sanchez-Leal, M.D.
• Emily Sanchez, BCBA
• Sandia Neurology Group PA
• Sanjoy Sundaresan MD PA

• Ambulatory Surgical Clinic/Center in Wichita Falls, TX
• Providers in Wichita Falls, TX by specialty
• Ambulatory Surgical Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.