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NPI Code Detail

MEDICARE: POINT OF ROCKS SURGERY CENTER, LLC

MEDICARE: POINT OF ROCKS SURGERY CENTER, 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/Center

General Provider Information

NPI Number : 1114302353
Entity Type Code : Organization
Provider Name (Legal Business Name) : POINT OF ROCKS SURGERY CENTER, LLC
Provider Business Mailing Address
First Line : 14201 DALLAS PKWY
Second Line :
City : DALLAS
State : TX
Zip : 75254-2916
Country : US
Telephone Number : 972-763-3859
Fax Number : 972-920-3445
Provider Business Practice Location Address
First Line : 1901 LOCKHOUSE DR.
Second Line :
City : POINT OF ROCKS
State : MD
Zip : 21777-2104
Country : US
Telephone Number : 301-874-2211
Fax Number : 301-874-2079
Authorized Official
Title or Position : OFFICER/AUTHORIZED OFFICIAL
Name : JONATHAN BAILEY
Credential :
Telephone Number : 203-609-1168
Provider Enumeration Date : 07/29/2015
Last Update Date : 10/24/2024

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Directions to “POINT OF ROCKS SURGERY CENTER, LLC ” Practice Location

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