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NPI Code Detail

MEDICARE: FORT WORTH SURGICARE PARTNERS, LTD.

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
1282N00000XGeneral Acute Care Hospital008045TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1871599183
Entity Type Code : Organization
Provider Name (Legal Business Name) : FORT WORTH SURGICARE PARTNERS, LTD.
Provider Business Mailing Address
First Line : 14201 DALLAS PKWY
Second Line :
City : DALLAS
State : TX
Zip : 75254-2916
Country : US
Telephone Number : 972-763-3859
Fax Number : 682-703-5769
Provider Business Practice Location Address
First Line : 1800 PARK PLACE AVE
Second Line :
City : FORT WORTH
State : TX
Zip : 76110-1302
Country : US
Telephone Number : 682-703-5600
Fax Number : 682-703-5769
Authorized Official
Title or Position : OFFICER/AUTHORIZED OFFICIAL
Name : DONITA FLEMING
Credential :
Telephone Number : 202-815-3665
Provider Enumeration Date : 06/22/2005
Last Update Date : 10/07/2024

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