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NPI Code Detail

MEDICARE: GROUP SURGICAL PARTNERS INTEGRATED LLC

MEDICARE: GROUP SURGICAL PARTNERS INTEGRATED LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QA1903XAmbulatory Surgical Clinic/CenterTX

General Provider Information

NPI Number : 1053835983
Entity Type Code : Organization
Provider Name (Legal Business Name) : GROUP SURGICAL PARTNERS INTEGRATED LLC
Provider Business Mailing Address
First Line : 8350 DALLAS PKWY STE 100
Second Line :
City : FRISCO
State : TX
Zip : 75034-5076
Country : US
Telephone Number : 469-287-8500
Fax Number : 817-507-1800
Provider Business Practice Location Address
First Line : 8350 DALLAS PKWY STE 100
Second Line :
City : FRISCO
State : TX
Zip : 75034-5076
Country : US
Telephone Number : 469-287-8500
Fax Number : 214-494-4414
Authorized Official
Title or Position : CEO
Name : JORDAN FOWLER
Credential :
Telephone Number : 917-216-6285
Provider Enumeration Date : 08/02/2017
Last Update Date : 12/09/2025

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Directions to “GROUP SURGICAL PARTNERS INTEGRATED LLC ” Practice Location

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