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General NPI Number Information
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NPI Number | 1033564414
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Entity Type | Organization
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Legal Business Name | TEXAS CENTER FOR INTERVENTIONAL SURGERY, LLC
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Dates
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Enumeration Date | 05/04/2016
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Last Update Date | 06/11/2025
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Provider Practice Location Address
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Address Line | 4450 SOJOURN DR SUITE 200
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City | ADDISON
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State | TX
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Zip | 75001-5041
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Country | US
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Telephone | 972-733-0014
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Fax | 972-733-0125
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Provider Business Mailing Address
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Address Line | 4450 SOJOURN DR SUITE 200
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City | ADDISON
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State | TX
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Zip | 75001-5041
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Country | US
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Telephone | 469-801-5007
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Fax | 972-733-0125
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Authorized Official
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Title or Position | CHIEF MEDICAL OFFICER
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Name | JARYD STEIN
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Credential | MD
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Telephone | 866-552-4866
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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