Healthcare Provider Details

I. General information

NPI: 1669959151
Provider Name (Legal Business Name): PRECISION SURGERY CENTER, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/26/2018
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1802 MOORES LN
TEXARKANA TX
75503-4609
US

IV. Provider business mailing address

1802 MOORES LN
TEXARKANA TX
75503-4609
US

V. Phone/Fax

Practice location:
  • Phone: 714-206-2154
  • Fax:
Mailing address:
  • Phone: 714-206-2154
  • 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: ERICA HARDY
Title or Position: VP, HR & COMPLIANCE
Credential:
Phone: 903-363-1558