Healthcare Provider Details
I. General information
NPI: 1992721591
Provider Name (Legal Business Name): DAY SURGERY CENTER OF NORTH TEXAS LTD
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/15/2006
Last Update Date: 08/10/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1701 OHIO DR
PLANO TX
75093-5208
US
IV. Provider business mailing address
PO BOX 25943
OKLAHOMA CITY OK
73125-0943
US
V. Phone/Fax
- Phone: 214-291-3000
- Fax:
- Phone: 972-758-3598
- Fax: 972-599-9604
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QA1903X |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| License Number | 008072 |
| License Number State | TX |
VIII. Authorized Official
Name: DR.
SAID
HASHEMIPOUR
Title or Position: PRESIDENT
Credential: MD
Phone: 214-291-3000