Texas Health Spine Surgery Center Alliance LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

TEXAS HEALTH SPINE SURGERY CENTER ALLIANCE LLC

Practice address

10900 Founders Way
Suite 100
Fort Worth, TX 76244

Phone

(817) 442-9300

Fax

(682) 651-1922

NPI assigned

Jul 3, 2019

Organization subpart

No

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

Authorized official

Name

Mark Gatley Hebard

Title

Ceo

Phone

(817) 442-9300

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Listed as

Texas Health Spine Surgery Center AllianceCCN 45C0001696

Medicare certification status

ActiveFrom the Provider of Services file

Locations

Practitioners 1

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

• Anthony P Berg, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Rockwall, TX
  • NPI 1811104664
  NPD (past)

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

{
    "created_epoch": "1562112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727654400000",
    "number": "1770145351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 S MAIN ST STE 100",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760515547",
            "telephone_number": "682-651-1908",
            "fax_number": "682-651-1922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10900 FOUNDERS WAY",
            "address_2": "SUITE 100",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76244",
            "telephone_number": "817-442-9300",
            "fax_number": "682-651-1922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS HEALTH SPINE SURGERY CENTER ALLIANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-03",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A",
        "authorized_official_last_name": "HEBARD",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "GATLEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "817-442-9300"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Texas Health Outpatient Surgery Center Alliance
• Texas Health Physician Affiliates Blue PLLC
• Texas Health Physicians Group
• Texas Health Physicians Group
• Texas Health Specialty Hospital Fort Worth
• Texas Health Surgery Center Alliance, LLC
• Texas Health Surgery Center Chisholm Trail, LLC
• Texas Health Surgery Center Southwest Fort Worth, LLC
• Texas Health Urgent Care
• Texas Health Urgent Care

• 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 Sep 30, 2024; 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.