MEDICARE: DFW SURGICAL PARTNERS-NORTH DALLAS 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
1	261QA1903X	Ambulatory Surgical Clinic/Center

General Provider Information

NPI Number	:	1316770530
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DFW SURGICAL PARTNERS-NORTH DALLAS LLC

Provider Business Mailing Address
First Line	:	17177 PRESTON RD
Second Line	:	STE 180
City	:	DALLAS
State	:	TX
Zip	:	75248-1235
Country	:	US
Telephone Number	:	972-483-5714
Fax Number	:	469-331-0097

Provider Business Practice Location Address
First Line	:	17177 PRESTON RD # 180
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75248-1235
Country	:	US
Telephone Number	:	469-667-6122
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MR. JOACHIM C FIIHR
Credential	:
Telephone Number	:	469-667-6122

Provider Enumeration Date	:	08/22/2024
Last Update Date	:	08/14/2025

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