institution
Northeast Texas Surgery Center
Ambulatory Surgical Clinic/Center in Texarkana, Texas
NPI 1063498657

Northeast Texas Surgery Center is an Ambulatory Surgical Clinic/Center based in Texarkana, TX and is specialized in Ambulatory Surgical. Northeast Texas Surgery Center practices in Texarkana, TX. The NPI Number for Northeast Texas Surgery Center is 1063498657 and holds a License No. 008109 (Texas).

The current practice location address for Northeast Texas Surgery Center is 1902 Moores Ln, Texarkana, TX and can be reached out via phone at 903-792-2108 and via fax at 903-792-0606. You can also correspond with Northeast Texas Surgery Center through the mailing address at 1902 MOORES LN, TEXARKANA, TX - 75503-4610 (mailing address contact number: 903-792-2108).

Location: 1902 Moores Ln, Texarkana, TX, 75503-4610
institution
Provider Profile Details
NPI Number
1063498657
Provider Name
Northeast Texas Surgery Center
Credential
Provider Entity Type
Organization
Address
1902 Moores Ln, Texarkana, TX, 75503-4610
Phone Number
903-792-2108
Fax Number
903-792-0606
Provider Enumeration Date
12/16/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
10517 01 AR AR BCBS
HH1366 01 TX TX BCBS ID
126632128 05 AR
176285801 05 TX
institution
Provider Business Practice Location Address Details
Address
1902 Moores Ln
City
State
Zip
75503-4610
Phone Number
903-792-2108
Fax Number
903-792-0606
person
Provider Business Mailing Address Details
Address
1902 Moores Ln
City
State
Zip
75503-4610
Phone Number
903-792-2108
Fax Number
903-792-0606
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
License No.
008109 (Texas)
Definition
Definition to come...
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