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General NPI Number Information
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NPI Number | 1922825322
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Entity Type | Organization
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Legal Business Name | METHODIST SURGERY CENTER - RICHARDSON, LLC
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Dates
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Enumeration Date | 09/25/2024
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Last Update Date | 10/14/2025
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Provider Practice Location Address
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Address Line | 3001 E PRESIDENT GEORGE BUSH HWY STE 150
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City | RICHARDSON
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State | TX
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Zip | 75082-3543
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Country | US
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Telephone | 214-838-0406
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Fax | 214-291-5987
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Provider Business Mailing Address
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Address Line | 3001 E PRESIDENT GEORGE BUSH HWY STE 150
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City | RICHARDSON
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State | TX
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Zip | 75082-3543
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Country | US
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Telephone | 214-838-0406
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Fax | 214-291-5987
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Authorized Official
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Title or Position | OFFICER AND AUTHORIZED OFFICIAL
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Name | JENNIFER BALDOCK
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Credential |
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Telephone | 615-234-5954
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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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