Urology Surgery Center of Texarkana

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

008308 Issued in TX

Legal business name

UROLOGY SURGERY CENTER OF TEXARKANA

Practice address

1902 Moores LN
Second Floor
Texarkana, TX 75503-4610

Phone

(903) 792-7515

Fax

(903) 793-8225

NPI assigned

Mar 20, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Vongphanet Joe Siharath, M.B.A.

Title

Administrator

Phone

(903) 792-7515

Specialties & licenses 1

Addresses

Other names 1

• Specialty Day Surgery Center Doing business as

Locations

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972562940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1902 MOORES LN",
            "address_2": "SECOND FLOOR",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755034610",
            "telephone_number": "903-792-7515",
            "fax_number": "903-793-8225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902 MOORES LN",
            "address_2": "SECOND FLOOR",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755034610",
            "telephone_number": "903-792-7515",
            "fax_number": "903-793-8225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROLOGY SURGERY CENTER OF TEXARKANA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SIHARATH",
        "authorized_official_first_name": "VONGPHANET",
        "authorized_official_middle_name": "JOE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "903-792-7515",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.B.A."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": "008308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Specialty Day Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• TXK Chiropractic Corp.
• TXK Clinic LLC
• Union Emergency Physicians, PLLC
• Tamara Nicole Upchurch, AGPCNP-BC
• Urology Associates of Texarkana, PA
• Kashetu Usman, PHARMD
• William K Vahle, LCDC
• Sheryl Frizzell Vaitkus
• Eddy Valdez, MD
• Valiant Health, PLLC

• Ambulatory Surgical Clinic/Center in Texarkana, TX
• Providers in Texarkana, 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 22, 2020; 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.