MEDICAL ARTS SURGERY CENTER LLC NPI 1306989249

NPI Information

NPI: 1306989249
Provider Name: MEDICAL ARTS SURGERY CENTER LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 45D1084074

Address:
3302 NE STALLINGS DR
NACOGDOCHES, TX
ZIP 75965
Phone: (936) 564-3600
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MEDICAL ARTS SURGERY CENTER LLC is an ambulatory surgical clinic center in Nacogdoches, TX. MEDICAL ARTS SURGERY CENTER LLC NPI is 1306989249. The provider is registered as an organization entity type.

The provider's business location address is:

3302 NE STALLINGS DR
NACOGDOCHES, TX
ZIP 75965-727
Phone: (936) 564-3600
Fax: (936) 564-3770

The provider's authorized official is Shannon L Smith .
The authorized official title is Md and has the following contact phone number (936) 564-3600.

The CLIA number assigned to this NPI record is 45D1084074 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/14/2007 and was last updated on 9/8/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical	008491	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	ASC 360	OTHER	TEXAS	MEDICARE ID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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