Texas Health Outpatient Surgery Center Alliance

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

103128 Issued in TX

Legal business name

TEXAS HEALTH OUTPATIENT SURGERY CENTER ALLIANCE

Practice address

10840 Texas Health TRL
Suite 100
Fort Worth, TX 76244-6846

Phone

(682) 212-5100

Fax

(817) 693-2510

NPI assigned

May 16, 2012

Organization subpart

No

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

Authorized official

Name

David Salsberry

Title

Chief Revenue Officer

Phone

(682) 236-6485

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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

• Lee Charles Bloemendal, MD

  • Surgery Physician
  • Fort Worth, TX
  • NPI 1952326787
  NPD (past)

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

{
    "created_epoch": "1337126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565913600000",
    "number": "1851650428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10840 TEXAS HEALTH TRL",
            "address_2": "SUITE 100",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762446846",
            "telephone_number": "682-236-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10840 TEXAS HEALTH TRL",
            "address_2": "SUITE 100",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762446846",
            "telephone_number": "682-212-5100",
            "fax_number": "817-693-2510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS HEALTH OUTPATIENT SURGERY CENTER ALLIANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-16",
        "last_updated": "2019-08-16",
        "status": "A",
        "authorized_official_last_name": "SALSBERRY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CHIEF REVENUE OFFICER",
        "authorized_official_telephone_number": "682-236-6485"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": "103128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "316285101",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSA",
            "identifier": "HH259A",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Texas Health Harris Methodist Hospital Southwest Fort Worth
• Texas Health Huguley, Inc
• Texas Health Medical Support
• Texas Health Medical Support
• Texas Health Orthopedic Surgery Center Alliance, LLC
• Texas Health Physician Affiliates Blue PLLC
• Texas Health Physicians Group
• Texas Health Physicians Group
• Texas Health Specialty Hospital Fort Worth
• Texas Health Spine Surgery Center Alliance LLC

• 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 Aug 16, 2019; 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.