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General NPI Number Information
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NPI Number | 1679455190
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Entity Type | Organization
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Legal Business Name | EVEREST SURGERY CENTER, LLC
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Dates
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Enumeration Date | 07/24/2025
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 2251 FREEMAN LANE SUITE 300
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City | MIDLOTHIAN
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State | TX
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Zip | 76065
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Country | US
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Telephone | 469-505-2020
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Fax | 469-505-2021
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Provider Business Mailing Address
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Address Line | 2251 FREEMAN LN
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City | MIDLOTHIAN
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State | TX
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Zip | 76065-4116
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Country | US
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Telephone | 469-505-2020
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Fax | 469-505-2021
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Authorized Official
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Title or Position | VP OF OPERATIONS
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Name | MR. WILLIAM TROY GRANT
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Credential |
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Telephone | 469-505-2020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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Taxonomy #2
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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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