Organization Active NPI

Texas Health Surgery Center Rockwall, LLC

  • Ambulatory Surgical Clinic/Center
  • Rockwall, TX
National Provider Identifier
1801309612
Registry record updated Nov 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
TEXAS HEALTH SURGERY CENTER ROCKWALL, LLC
Practice address
3144 Horizon Road
Suite 120
Rockwall, TX 75032-7805
Phone
(813) 310-1121
NPI assigned
Nov 15, 2017
Last updated
Nov 15, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2017

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

Authorized official

Name
Ms. Christina McDonald
Title
Chief Administrative Officer
Phone
(813) 310-1121

Specialties & licenses 1

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

Addresses

Primary practice location

3144 Horizon Road
Suite 120
Rockwall, TX 75032-7805

Mailing address

3144 Horizon Road
Suite 120
Rockwall, TX 75032-7805

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180611001902 TX Part B Supplier - Ambulatory Surgical Center 6709131089 Practice locations: Rockwall, TX

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Texas Health Suregery Center RockwallCCN 45C0001653
Medicare certification status
ActiveFrom the Provider of Services file

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
45D2142869Texas Health Surgery Center Rockwall, LLC3144 Horizon Road, Suite 120, Rockwall, TX 75032Certificate of waiverJan 21, 2028
45D2172354Texas Health Surgery Center Rockwall3144 Horizon Rd Ste 120 Room Cu, Rockwall, TX 75032ComplianceNov 3, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1510704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510704000000",
    "number": "1801309612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3144 HORIZON ROAD",
            "address_2": "SUITE 120",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750327805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3144 HORIZON ROAD",
            "address_2": "SUITE 120",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750327805",
            "telephone_number": "813-310-1121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS HEALTH SURGERY CENTER ROCKWALL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-15",
        "last_updated": "2017-11-15",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "813-310-1121",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockwall, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2017; 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.