Healthcare Provider Details

I. General information

NPI: 1225064736
Provider Name (Legal Business Name): NMC SURGERY CENTER, L.P.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2006
Last Update Date: 02/17/2026
Certification Date: 02/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4948 NE STALLINGS DR
NACOGDOCHES TX
75965-1265
US

IV. Provider business mailing address

4948 NE STALLINGS DR
NACOGDOCHES TX
75965-1265
US

V. Phone/Fax

Practice location:
  • Phone: 363-059-2129
  • Fax: 939-280-5901
Mailing address:
  • Phone: 936-305-9212
  • Fax: 939-280-5901

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: JILL FINKE
Title or Position: OFFICER / AUTHORIZED OFFICIAL
Credential:
Phone: 936-305-9212