NPIMap

Organization Active NPI

Faith Surgical Center, LLC

  • Ambulatory Surgical Clinic/Center
  • The Colony, TX
National Provider Identifier
1386032860
Registry record updated Mar 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
130237 Issued in TX
Legal business name
FAITH SURGICAL CENTER, LLC
Practice address
3716 Standridge Dr Ste 100
The Colony, TX 75056-4146
Phone
(972) 370-7200
Fax
(972) 370-7208
NPI assigned
Jan 6, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2017

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

Authorized official

Name
Mr. Douglas A Gatewood
Title
Owner
Phone
(469) 450-0498

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 130237 TX Primary

Addresses

Primary practice location

3716 Standridge Dr Ste 100
The Colony, TX 75056-4146

Mailing address

3716 Standridge Dr Ste 100
The Colony, TX 75056-4146
Phone (972) 370-7200

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1420502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488326400000",
    "number": "1386032860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3716 STANDRIDGE DR STE 100",
            "city": "THE COLONY",
            "state": "TX",
            "postal_code": "750564146",
            "telephone_number": "972-370-7200",
            "fax_number": "972-370-7208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3716 STANDRIDGE DR STE 100",
            "city": "THE COLONY",
            "state": "TX",
            "postal_code": "750564146",
            "telephone_number": "972-370-7200",
            "fax_number": "972-370-7208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITH SURGICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-06",
        "last_updated": "2017-03-01",
        "status": "A",
        "authorized_official_last_name": "GATEWOOD",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-450-0498",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": "130237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Colony, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.