Active NPI
Metro Surgical Associates
- Ambulatory Surgical Clinic/Center
- Dallas, TX
National Provider Identifier
1356579924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 008323
- Legal business name
- METRO SURGICAL ASSOCIATES
- Practice address
- 5920 Forest Park Rd Ste 700
Dallas, TX 75235-6414 - Phone
- (214) 350-2400
- NPI assigned
- Jun 23, 2009
- 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
- Mr. Gregory Lake
- Title
- Administrator
- Phone
- (214) 350-2400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 008323 | TX | Primary |
Addresses
Primary practice location
5920 Forest Park Rd Ste 700
Dallas, TX 75235-6414
Mailing address
5920 Forest Park Rd Ste 700
Dallas, TX 75235-6414
Phone (214) 350-2400
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://fhir4.healow.com/fhir/r4/GIHFBD
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245715200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1245715200000",
"number": "1356579924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5920 FOREST PARK RD STE 700",
"city": "DALLAS",
"state": "TX",
"postal_code": "752356414",
"telephone_number": "214-350-2400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5920 FOREST PARK RD STE 700",
"city": "DALLAS",
"state": "TX",
"postal_code": "752356414",
"telephone_number": "214-350-2400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "METRO SURGICAL ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2009-06-23",
"last_updated": "2009-06-23",
"status": "A",
"authorized_official_last_name": "LAKE",
"authorized_official_first_name": "GREGORY",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "214-350-2400",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "TX",
"license": "008323",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.