Provider Demographics
NPI:1013227248
Name:TUSCAN SURGERY CENTER AT LAS COLINAS, LLC
Entity Type:Organization
Organization Name:TUSCAN SURGERY CENTER AT LAS COLINAS, LLC
Other - Org Name:TUSCAN SURGERY CENTER AT LAS COLINAS
Other - Org Type:Other Name
Authorized Official - Title/Position:OFFICER, AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:DONITA
Authorized Official - Middle Name:
Authorized Official - Last Name:FLEMING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-815-3665
Mailing Address - Street 1:701 TUSCAN DR
Mailing Address - Street 2:STE 100
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75039-4133
Mailing Address - Country:US
Mailing Address - Phone:214-442-1900
Mailing Address - Fax:214-442-1919
Practice Address - Street 1:701 TUSCAN DR
Practice Address - Street 2:STE 100
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75039-4133
Practice Address - Country:US
Practice Address - Phone:214-442-1900
Practice Address - Fax:214-442-1919
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-21
Last Update Date:2022-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX130075261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP01047662OtherRAILROAD MEDICARE
TXP01047662OtherRAILROAD MEDICARE
TXASC426Medicare PIN