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General NPI Number Information
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NPI Number | 1588190904
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Entity Type | Organization
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Legal Business Name | TEXAS HEALTH HUGULEY SURGERY CENTER, LLC
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Dates
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Enumeration Date | 05/04/2017
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Last Update Date | 11/20/2024
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Provider Practice Location Address
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Address Line | 12001 SOUTH FWY SUITE 101
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City | BURLESON
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State | TX
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Zip | 76028-7208
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Country | US
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Telephone | 817-615-4400
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Fax | 817-615-4420
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Provider Business Mailing Address
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Address Line | 12001 SOUTH FWY SUITE 101
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City | BURLESON
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State | TX
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Zip | 76028-7208
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Country | US
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Telephone | 817-615-4400
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Fax | 817-615-4420
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Authorized Official
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Title or Position | PRESIDENT, CEO TEXAS HEALTH HUGULEY
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Name | MRS. PENNY JOHNSON
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Credential |
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Telephone | 817-551-2704
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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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