Allegiance Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

ALLEGIANCE SURGERY CENTER LLC

Practice address

1106 Alston Ave Ste 100
Fort Worth, TX 76104-4665

Phone

(817) 332-0660

NPI assigned

Nov 8, 2021

Organization subpart

No

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

Authorized official

Name

Brian Hickey

Title

Owner

Phone

(972) 897-3280

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1636329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636329600000",
    "number": "1679238356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 BAILEY AVE STE 750",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761072175",
            "telephone_number": "817-402-0269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 ALSTON AVE STE 100",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044665",
            "telephone_number": "817-332-0660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEGIANCE SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-08",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-06",
        "status": "A",
        "authorized_official_last_name": "HICKEY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-897-3280"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sameer Allahabadi, MD
• Jennifer Kaye Allard, RN, CRNP, MSN, MPH
• Paula Lee Allard
• Shelbi Allardyce, RN
• Julia Alldredge
• Susan Allem, LPC
• Allen Neuro Services LLC
• Allen S. Kent, MD, PA
• Autumn Nicole Allen-Brantley, LMSW
• Anaka Allen, RN

• Ambulatory Surgical Clinic/Center in Fort Worth, TX
• Providers in Fort Worth, 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 Nov 8, 2021; 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.