Baylor Scott & White Surgicare - Southlake

LBN: Grapevine Surgicare Partners Ltd
Baylor Scott & White Surgicare - Southlake is an health care organization with primary practice located at 905 E Southlake Blvd Ste 200, Southlake TX 76092-8602. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Grapevine Surgicare Partners Ltd can be contacted via phone (817) 410-4300, or through Fleming, Donita via phone (202) 815-3665.

Contact Information

Primary practice address
905 E Southlake Blvd Ste 200 Southlake TX 76092-8602
Phone: (817) 410-4300
Fax: (817) 410-4303
Website:
Map and Directions
Authorized official contact:
Name: Fleming, Donita
Phone: (202) 815-3665

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X 007819 Texas

Profile Details

NPI number 1295702942
LBN Legal business name Grapevine Surgicare Partners Ltd
DBA Doing business as Baylor Scott & White Surgicare - Southlake
Authorized official Fleming, Donita
Entity Organization
Organization subpart 1 No
Enumeration date Mar 1st, 2006
Last updated May 9th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295702942 NPPES
Texas MEDICAID 173382601
Texas Other 490005386

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