Provider Demographics
NPI:1205390085
Name:TWIN CREEKS SURGERY CENTER LLC
Entity Type:Organization
Organization Name:TWIN CREEKS SURGERY CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:SHANNON
Authorized Official - Middle Name:
Authorized Official - Last Name:BARNES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-872-8254
Mailing Address - Street 1:5999 CUSTER RD STE 110-520
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035-9302
Mailing Address - Country:US
Mailing Address - Phone:972-872-8254
Mailing Address - Fax:
Practice Address - Street 1:2023 W MCDERMOTT DR STE 240
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013-4679
Practice Address - Country:US
Practice Address - Phone:972-330-2696
Practice Address - Fax:972-850-7352
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-26
Last Update Date:2021-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical