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Centennial Asc, Llc
Ambulatory Surgical Clinic/Center in Frisco, Texas
NPI 1639146541

Centennial Asc, Llc is an Ambulatory Surgical Clinic/Center based in Frisco, TX and is specialized in Ambulatory Surgical. Centennial Asc, Llc practices in Frisco, TX. The NPI Number for Centennial Asc, Llc is 1639146541 and holds a License No. 008203 (Texas).

The current practice location address for Centennial Asc, Llc is 4401 Coit Rd, Frisco, TX and can be reached out via phone at 214-619-0120 and via fax at 214-619-0121.

Location: 4401 Coit Rd, Frisco, TX, 75035-0500
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1639146541
Provider Name
Centennial Asc, Llc
Credential
Provider Entity Type
Organization
Address
4401 Coit Rd, Frisco, TX, 75035-0500
Phone Number
214-619-0120
Fax Number
214-619-0121
Provider Enumeration Date
03/01/2006
Last Update Date
10/19/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
HH065A 01 TX BCBS OF TX
P00617261 01 TX RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
4401 Coit Rd
City
Frisco
State
Texas
Zip
75035
Phone Number
214-619-0120
Fax Number
214-619-0121
person
Provider Business Mailing Address Details
Address
4401 Coit Rd
City
Frisco
State
Texas
Zip
75035
Phone Number
214-619-0120
Fax Number
214-619-0121
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
261QA1903X
License No.
008203 (Texas)
Definition
Definition to come...
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