Baylor Surgicare at Ennis LLC
Organization Active NPI Ambulatory Surgical Clinic/Center · Ennis, TX
NPI 1992008965 · NPPES record last updated Aug 19, 2011
Key facts
- NPI
- 1992008965
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulatory Surgical Clinic/Center 261QA1903X
- License
- 008756 (TX)
- Legal business name
- BAYLOR SURGICARE AT ENNIS LLC
- Practice address
- 2200 Physicans Blvd
Suite a
Ennis, TX 75119-6247 - Phone
- (972) 875-5538
- Fax
- (972) 875-8530
- NPI assigned
- Dec 14, 2010
- Organization subpart
- No
Authorized official
- Name
- Katherine L Reed
- Title
- Authorized Official
- Phone
- (972) 763-3859
Member of 4
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 008756 | TX | Yes |
Addresses
Primary practice location
2200 Physicans Blvd
Suite a
Ennis, TX 75119-6247
Mailing address
2200 Physicans Blvd
Suite a
Ennis, TX 75119-6247
Phone (972) 875-5538
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00936810 | Other | TX | RAILROAD MEDICARE |
Other providers in Ennis, TX
- William Carroll Ballard II
- Molly Dickens Barlow
- Lori Annette Barron
- Basem Jassin, MD PA
- Marissa Lourdes Bautista
- Sherri Lynn Berry
- Big Hearts MD Distributor, LLC
- Bio-Medical Applications of Texas, Inc.
- Sam N Blackstone Jr.
- Blair Family Medicine PA
All providers in Ennis, TX · Ambulatory Surgical Clinic/Center in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 19, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.