Healthcare Provider Details

I. General information

NPI: 1700705985
Provider Name (Legal Business Name): SPHERE SURGERY CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4441 W AIRPORT FWY STE 215
IRVING TX
75062-5959
US

IV. Provider business mailing address

4441 W AIRPORT FWY STE 330
IRVING TX
75062-5960
US

V. Phone/Fax

Practice location:
  • Phone: 469-913-6136
  • Fax: 877-559-7679
Mailing address:
  • Phone: 817-675-8022
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. VICTORIA PHAM
Title or Position: VICE PRESIDENT OF OPERATIONS
Credential: CASC, MBA
Phone: 817-675-8022