Healthcare Provider Details

I. General information

NPI: 1649870304
Provider Name (Legal Business Name): PARKHILL SURGERY CENTER PLANO, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/30/2020
Last Update Date: 02/04/2025
Certification Date: 02/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7000 W PLANO PKWY
PLANO TX
75093-8466
US

IV. Provider business mailing address

7000 W PLANO PKWY
PLANO TX
75093-8466
US

V. Phone/Fax

Practice location:
  • Phone: 972-808-7674
  • Fax:
Mailing address:
  • Phone: 972-808-7674
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2086S0120X
TaxonomyPediatric Surgery Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QC0050X
TaxonomyCritical Access Hospital Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SHERRY EDWARDS
Title or Position: ADMINISTRATOR
Credential:
Phone: 469-300-3131