MEDICARE: MCS DALLAS SURGERY CENTER LLC DBA TOWNSEN SURGERY CENTER - EAST DALLAS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QA1903X	Ambulatory Surgical Clinic/Center

General Provider Information

NPI Number	:	1114864600
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MCS DALLAS SURGERY CENTER LLC DBA TOWNSEN SURGERY CENTER - EAST DALLAS

Provider Business Mailing Address
First Line	:	3400 IH 30 STE 300
Second Line	:
City	:	MESQUITE
State	:	TX
Zip	:	75150-2601
Country	:	US
Telephone Number	:	469-730-0510
Fax Number	:	972-349-1100

Provider Business Practice Location Address
First Line	:	3400 IH 30 STE 300
Second Line	:
City	:	MESQUITE
State	:	TX
Zip	:	75150-2601
Country	:	US
Telephone Number	:	469-730-0510
Fax Number	:	972-349-1100

Authorized Official
Title or Position	:	CEO
Name	:	KENNETH LE
Credential	:	MD
Telephone Number	:	832-919-1789

Provider Enumeration Date	:	05/01/2026
Last Update Date	:	05/27/2026

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