MEDICARE: MEDICAL CITY SPECIALTY SURGICENTER OF 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	:	1649931072
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDICAL CITY SPECIALTY SURGICENTER OF DALLAS, LLC

Provider Business Mailing Address
First Line	:	12228 N CENTRAL EXPY STE 100
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75243-3728
Country	:	US
Telephone Number	:	469-751-5500
Fax Number	:

Provider Business Practice Location Address
First Line	:	12228 N CENTRAL EXPY STE 100
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75243-3728
Country	:	US
Telephone Number	:	469-751-5500
Fax Number	:

Authorized Official
Title or Position	:	VP
Name	:	WILLIAM G SWINNEY
Credential	:
Telephone Number	:	972-789-2877

Provider Enumeration Date	:	01/07/2022
Last Update Date	:	07/19/2022

Similar Medicare Providers

1891759676 — JAMES GARY SCHROEDER MD
Practice Location Address:

4320 WESTWAY AVE
DALLAS, TX
75205-3728

Practice Phone: 214-693-8134
Practice Fax:

1891166039 — TD ANESTHESIA SERVICES
Practice Location Address:

3728 SHADY HILL DR
DALLAS, TX
75229-2711

Practice Phone: 817-516-8811
Practice Fax: 817-516-8444

1063912608 — MS. KARLA ADRIANA LOPEZ
Practice Location Address:

5515 ARAPAHO RD APT 368
DALLAS, TX
75248-3728

Practice Phone: 956-212-0174
Practice Fax:

1639736903 — TD PAIN SERVICES PLLC
Practice Location Address:

3728 SHADY HILL DR
DALLAS, TX
75229-2711

Practice Phone: 918-549-8284
Practice Fax: 877-576-0804

1174131049 — SPECIALTY IMAGING CONSULTANTS LLC
Practice Location Address:

4320 WESTWAY AVE
DALLAS, TX
75205-3728

Practice Phone: 214-693-8134
Practice Fax:

1205512639 — MOHIT GUPTA
Practice Location Address:

5323 HARRY HINES BLVD
DALLAS, TX
75390-3728

Practice Phone: 214-648-2168
Practice Fax:

Directions to “MEDICAL CITY SPECIALTY SURGICENTER OF DALLAS, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.