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NPI Code Detail

MEDICARE: CONCORD SURGICAL CARE, LLC

MEDICARE: CONCORD SURGICAL CARE, 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
1208D00000XGeneral Practice Physician

General Provider Information

NPI Number : 1144798208
Entity Type Code : Organization
Provider Name (Legal Business Name) : CONCORD SURGICAL CARE, LLC
Provider Business Mailing Address
First Line : 10400 N CENTRAL EXPY STE A
Second Line :
City : DALLAS
State : TX
Zip : 75231-2217
Country : US
Telephone Number : 817-581-6100
Fax Number : 415-795-4434
Provider Business Practice Location Address
First Line : 10400 N CENTRAL EXPY
Second Line :
City : DALLAS
State : TX
Zip : 75231-2297
Country : US
Telephone Number : 214-771-0117
Fax Number : 415-795-4434
Authorized Official
Title or Position : OWNER
Name : LORI SUZZETTE AARON
Credential :
Telephone Number : 903-227-1088
Provider Enumeration Date : 11/07/2018
Last Update Date : 02/09/2026

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Directions to “CONCORD SURGICAL CARE, LLC ” Practice Location

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