Rockwall Surgery Center LLP

Organization Active NPI Ambulatory Surgical Clinic/Center · Rockwall, TX

NPI 1992761936 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1992761936
Entity type
Organization (NPI type 2)
Primary specialty
Ambulatory Surgical Clinic/Center 261QA1903X
License
008115 (TX)
Legal business name
ROCKWALL SURGERY CENTER LLP
Practice address
825 Yellow Jacket LN
Rockwall, TX 75087-4818
Phone
(972) 772-6166
Fax
(972) 772-6167
NPI assigned
Apr 26, 2006
Organization subpart
No

Authorized official

Name
Mrs. Mary V White
Title
Administrator
Phone
(972) 772-6166

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 008115 TX Yes

Addresses

Primary practice location

825 Yellow Jacket LN
Rockwall, TX 75087-4818

Mailing address

825 W. Yellowjacket Lane
Rockwall, TX 75087
Phone (972) 772-6166

Other identifiers

IdentifierTypeStateIssuer
HHO46AOtherTXBCBS PROVIDER NUMBER

Other providers in Rockwall, TX

All providers in Rockwall, TX · Ambulatory Surgical Clinic/Center in Texas

Sources for this page

Verify at the official NPI Registry.