MEDICARE: FORT WORTH SURGICARE PARTNERS LTD

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	284300000X	Special Hospital

General Provider Information

NPI Number	:	1568883775
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FORT WORTH SURGICARE PARTNERS LTD

Provider Business Mailing Address
First Line	:	914 LIPSCOMB ST
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76104-3169
Country	:	US
Telephone Number	:	682-703-5770
Fax Number	:	817-984-1625

Provider Business Practice Location Address
First Line	:	914 LIPSCOMB ST
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76104-3169
Country	:	US
Telephone Number	:	817-632-4534
Fax Number	:	817-632-6899

Authorized Official
Title or Position	:	OFFICER / AUTHORIZED OFFICIAL
Name	:	JENETHA D MORAN
Credential	:
Telephone Number	:	972-763-3893

Provider Enumeration Date	:	12/16/2013
Last Update Date	:	04/30/2019

Similar Medicare Providers

1083853659 — TARRANT COUNTY SURGICAL CENTER LLC
Practice Location Address:

914 LIPSCOMB ST
FORT WORTH, TX
76104-3169

Practice Phone: 817-348-8600
Practice Fax:

1558909937 — MELANIE ANN LEVINE LCSW
Practice Location Address:

7621 EAGLE RIDGE CIR
FORT WORTH, TX
76179-3169

Practice Phone: 858-539-6798
Practice Fax:

1679274625 — GISELLE SUAREZ VICTORERO
Practice Location Address:

3169 HYPOLUXO RD
LAKE WORTH, FL
33462-3703

Practice Phone: 786-380-9221
Practice Fax:

1235607326 — ALLISON HOTALING LCSW
Practice Location Address:

347 N NEW RIVER DR E APT 2707
FORT LAUDERDALE, FL
33301-3169

Practice Phone: 954-226-0758
Practice Fax:

1891543344 — KELLY E MCCRAY LCSW
Practice Location Address:

908 IRONWOOD DR
FORT KNOX, KY
40121-3169

Practice Phone: 972-363-4144
Practice Fax:

1174258651 — JUNXION MED STAFFING LLC
Practice Location Address:

2100 N MAIN ST STE 210
FORT WORTH, TX
76164-8575

Practice Phone: 817-242-0300
Practice Fax:

Directions to “FORT WORTH SURGICARE PARTNERS LTD ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.