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NPI Code Detail

MEDICARE: DALLAS DAY SURGERY CENTER

MEDICARE: DALLAS DAY SURGERY CENTER
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/Center000244TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1HH1333OTHERTXBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1265596787
Entity Type Code : Organization
Provider Name (Legal Business Name) : DALLAS DAY SURGERY CENTER
Provider Business Mailing Address
First Line : 411 NO WASHINGTON
Second Line : SUITE 5400
City : DALLAS
State : TX
Zip : 75246-1776
Country : US
Telephone Number : 214-821-8613
Fax Number : 214-821-4958
Provider Business Practice Location Address
First Line : 411 NO WASHINGTON
Second Line : SUITE 5400
City : DALLAS
State : TX
Zip : 75246-1776
Country : US
Telephone Number : 214-821-8613
Fax Number : 214-821-4958
Authorized Official
Title or Position : MEDICAL DIRECTOR
Name : MR. STEVE BYRD
Credential : MD
Telephone Number : 214-821-8613
Provider Enumeration Date : 12/20/2006
Last Update Date : 10/16/2008

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Directions to “DALLAS DAY SURGERY CENTER ” Practice Location

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