PHYSICIANS SURGICAL CENTER OF FT. WORTH, L.L.P (NPI# 1033399803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033399803 |
| Entity Type | Organization |
| Organization Name | PHYSICIANS SURGICAL CENTER OF FT. WORTH, L.L.P |
| Other Organization Name | PHYSICIANS SURGICAL CENTER OF FORT WORTH |
| Practice Address |
975 Haskell St Fort Worth TX 76107-2653 |
| Practice Telephone | 8175700200 |
| Practice Fax Number | 8175700280 |
| Mailing Telephone | 8175700200 |
| Mailing Fax Number | 8175700280 |
| Enumeration Date | 2007-11-09 |
| Last Update Date | 2007-11-09 |
| Authorized Official Name | TONI WILSON (ADMINISTRATOR) |
| Authorized Official Telephone | 8175700203 |
| Authorized Official Credential | RN MSN CASC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
008484 | TX | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Physicians Surgical Center of Fort Worth | Doing Business As Name - Organization |
| Street Address |
975 HASKELL ST |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76107-2653 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144827114 | Gulfstream Surgical Fort Worth LLC | Clinic/Center | 975 Haskell St, Fort Worth, TX 76107-2653 | 2020-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629683602 | Renovo Wound and Hyperbarics Pllc | Emergency Medicine | 5668 Edwards Ranch Road, Suite 101, Fort Worth, TX 76107 | 2020-09-15 |
| 1669085437 | Ryan Bourgeois | Nurse Practitioner | 2917 Crocket Street, Fort Worth, TX 76107 | 2020-08-31 |
| 1053920546 | Christa Marie Widjaja | Optometrist | 1700 Montgomery St, Fort Worth, TX 76107 | 2020-07-30 |
| 1093351355 | Raymond Iannone | Pharmacist | 850 Montgomery St, Suite #310, Fort Worth, TX 76107 | 2019-11-21 |
| 1053963744 | Cumulus Injury Resolution, Inc. | Chiropractor | 4936 Byers Avenue, Fort Worth, TX 76107 | 2019-07-12 |
| 1770135576 | Shadia Osakwe | Physician Assistant | 855 Montgomery Street, Pediatric Clinic, Fort Worth, TX 76107 | 2019-07-11 |
| 1568945442 | Sachin P Patel | Physical Therapist | 4825 Wellesley St, Fort Worth, TX 76107 | 2018-09-07 |
| 1023594025 | Ftw Pharmacy Services Inc | Durable Medical Equipment & Medical Supplies | 2912 W 6th St Ste 150, Fort Worth, TX 76107 | 2018-07-13 |
| 1669974325 | Helen Williamson Elliott | Counselor | 1751 River Run #217, Fort Worth, TX 76107 | 2018-03-08 |
| 1487156931 | Pelvic Neuromonitoring Pllc | Electrodiagnostic Medicine | 111 Boland St #211, Ft Worth, TX 76107 | 2018-03-01 |
| Find all providers in zip 76107 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720603079 | Texas Health Surgery Center Chisholm Trail, LLC | Clinic/Center | 5900 Altamesa Blvd, Fort Worth, TX 76132-5473 | 2020-06-12 |
| 1235752643 | Texas Health Surgery Center Southwest Fort Worth, LLC | Clinic/Center | 6317 Harris Pkwy Ste 200, Fort Worth, TX 76132-4257 | 2020-05-20 |
| 1770145351 | Texas Health Spine Surgery Center Alliance LLC | Clinic/Center | 10900 Founders Way, Suite 100, Fort Worth, TX 76244 | 2019-07-03 |
| 1750844049 | Fort Worth Surgical Center Lp | Clinic/Center | 6949 Bryant Irvin Road, Fort Worth, TX 76132 | 2019-04-12 |
| 1508367194 | Texas Health Orthopedic Surgery Center Alliance, LLC | Clinic/Center | 9848 N Beach St, Fort Worth, TX 76244-6184 | 2018-02-28 |
| 1740780956 | Psn Fw Holdco, LLC | Clinic/Center | 975 Haskell Street, Fort Worth, TX 76107 | 2018-02-14 |
| 1346751682 | Dru Riddle Anesthesia, Pllc | Clinic/Center | 2800 W Bowie St, Fort Worth, TX 76109-1706 | 2017-10-13 |
| 1952820680 | Emerald Laine, Pllc | Clinic/Center | 3836 Arundel Ave, Fort Worth, TX 76109-3542 | 2017-09-13 |
| 1104341254 | Texas Health Surgery Center Alliance, LLC | Clinic/Center | 10840 Texas Health Trl Ste 100, Fort Worth, TX 76244-6847 | 2017-08-10 |
| 1700994290 | Urological Surgery Center LLC | Clinic/Center | 418 S Henderson St, Fort Worth, TX 76104-1017 | 2006-08-26 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76107 |
Please comment or provide details below to improve the information on PHYSICIANS SURGICAL CENTER OF FT. WORTH, L.L.P.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.