Organization Active NPI

Mariposa Surgery Center PLLC

Doing business as Mariposa Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Corinth, TX
National Provider Identifier
1467106591
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
MARIPOSA SURGERY CENTER PLLC
Doing business as
Mariposa Surgery Center
Practice address
3502 Corinth Pkwy Ste 120
Corinth, TX 76208-5481
Phone
(940) 765-8403
Fax
(940) 380-8041
NPI assigned
Feb 8, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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

Authorized official

Name
Dr. Carolyn Nance Garner, MDNPI 1750493185
Title
President
Phone
(940) 498-2828

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

3502 Corinth Pkwy Ste 120
Corinth, TX 76208-5481

Mailing address

3502 Corinth Pkwy Ste 120
Corinth, TX 76208-5481
Phone (940) 498-2828

Other names 1

  • Mariposa 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
O20230327002310 TX Part B Supplier - Ambulatory Surgical Center 9133593544 Practice locations: Corinth, TX

Ambulatory surgical center certification: CCN 45C0451301

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
Mariposa Surgery Center PLLC
Certification status
Active
Provider type (POS)
Ambulatory surgical center
Participating since
Nov 27, 2024
Last certification
Nov 5, 2024
Ownership / control type
Proprietary
Facility address
3502 Corinth Pkwy, Unit 120
Corinth, TX 76208

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
45D2307344Mariposa Surgery Center PLLC3502 Corinth Pkwy Unit 120, Corinth, TX 76208Certificate of waiverJul 7, 2028

National Provider Directory

National Provider Directory

Locations

3502 Corinth Pkwy
Unit 120
Corinth, TX 76208
Phone (940) 498-2828

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1644278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761523200000",
    "number": "1467106591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3502 CORINTH PKWY STE 120",
            "city": "CORINTH",
            "state": "TX",
            "postal_code": "762085481",
            "telephone_number": "940-498-2828",
            "fax_number": "940-380-8041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3502 CORINTH PKWY STE 120",
            "city": "CORINTH",
            "state": "TX",
            "postal_code": "762085481",
            "telephone_number": "940-765-8403",
            "fax_number": "940-380-8041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIPOSA SURGERY CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-08",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A",
        "authorized_official_last_name": "GARNER",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "NANCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "940-498-2828",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mariposa Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corinth, TX

Sources for this page

Verify at the official NPI Registry.