MEDICARE: DENTON SURGICARE PARTNERS, LTD.

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	7012	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1982607446
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DENTON SURGICARE PARTNERS, LTD.

Provider Business Mailing Address
First Line	:	350 S INTERSTATE 35 E
Second Line	:
City	:	DENTON
State	:	TX
Zip	:	76205-5376
Country	:	US
Telephone Number	:	940-323-1393
Fax Number	:	940-320-0309

Provider Business Practice Location Address
First Line	:	350 S INTERSTATE 35 E
Second Line	:
City	:	DENTON
State	:	TX
Zip	:	76205-5376
Country	:	US
Telephone Number	:	940-323-1393
Fax Number	:	940-320-0309

Authorized Official
Title or Position	:	REGIONAL VP
Name	:	MS. CAROLYN EXLEY
Credential	:	VP
Telephone Number	:	940-323-1393

Provider Enumeration Date	:	05/27/2005
Last Update Date	:	08/22/2020

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