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General NPI Number Information
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NPI Number | 1851650428
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Entity Type | Organization
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Legal Business Name | TEXAS HEALTH OUTPATIENT SURGERY CENTER ALLIANCE
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Dates
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Enumeration Date | 05/16/2012
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Last Update Date | 08/16/2019
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Provider Practice Location Address
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Address Line | 10840 TEXAS HEALTH TRL SUITE 100
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City | FORT WORTH
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State | TX
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Zip | 76244-6846
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Country | US
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Telephone | 682-212-5100
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Fax | 817-693-2510
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Provider Business Mailing Address
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Address Line | 10840 TEXAS HEALTH TRL SUITE 100
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City | FORT WORTH
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State | TX
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Zip | 76244-6846
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Country | US
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Telephone | 682-236-3000
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Fax |
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Authorized Official
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Title or Position | CHIEF REVENUE OFFICER
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Name | DAVID SALSBERRY
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Credential |
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Telephone | 682-236-6485
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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 | 103128
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License Number State | TX
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