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General NPI Number Information
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NPI Number | 1295557783
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Entity Type | Organization
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Legal Business Name | TEXAS HEALTH SURGERY CENTER FORNEY, LLC
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Dates
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Enumeration Date | 10/28/2024
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Last Update Date | 10/28/2024
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Provider Practice Location Address
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Address Line | 250 KROGER DRIVE SUITE 110
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City | FORNEY
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State | TX
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Zip | 75126
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Country | US
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Telephone | 972-421-4899
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Fax |
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Provider Business Mailing Address
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Address Line | 250 KROGER DRIVE SUITE 110
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City | FORNEY
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State | TX
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Zip | 75126
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | VP OPERATIONS
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Name | JULIE ELSEY
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Credential |
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Telephone | 972-421-4899
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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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