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General NPI Number Information
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NPI Number | 1780683490
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Entity Type | Organization
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Legal Business Name | METROCREST SURGERY CENTER LP
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Dates
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Enumeration Date | 07/15/2005
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Last Update Date | 06/16/2025
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Provider Practice Location Address
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Address Line | 4780 N JOSEY LN
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City | CARROLLTON
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State | TX
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Zip | 75010-4615
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Country | US
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Telephone | 972-395-0440
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Fax | 972-395-0460
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Provider Business Mailing Address
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Address Line | 14201 DALLAS PKWY
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City | DALLAS
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State | TX
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Zip | 75254-2916
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Country | US
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Telephone | 972-395-0440
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Fax | 972-395-0460
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Authorized Official
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Title or Position | OFFICER/AUTHORIZED OFFICIAL
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Name | DONITA FLEMING
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Credential |
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Telephone | 202-815-3665
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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 | 7914
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License Number State | TX
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