MEDICARE: UTHRGV AMBULATORY SURGERY CENTER MCALLEN 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	:	1992664734
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UTHRGV AMBULATORY SURGERY CENTER MCALLEN LLC

Provider Business Mailing Address
First Line	:	1400 N COMMERCE CENTER STREET
Second Line	:	STE 1.502
City	:	MCALLEN
State	:	TX
Zip	:	78501-3185
Country	:	US
Telephone Number	:	956-296-2273
Fax Number	:

Provider Business Practice Location Address
First Line	:	1400 N COMMERCE CENTER STREET
Second Line	:	STE 1.502
City	:	MCALLEN
State	:	TX
Zip	:	78501-3185
Country	:	US
Telephone Number	:	956-296-2273
Fax Number	:

Authorized Official
Title or Position	:	VICE PRESIDENT FOR HEALTH AFFAIRS
Name	:	BRIAN DEAN
Credential	:
Telephone Number	:	956-296-1516

Provider Enumeration Date	:	01/19/2026
Last Update Date	:	01/19/2026

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