Provider Demographics
NPI:1225225154
Name:PRESTONWOOD SURGERY CENTER LLC
Entity Type:Organization
Organization Name:PRESTONWOOD SURGERY CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CLAY
Authorized Official - Middle Name:
Authorized Official - Last Name:HEIGHTEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-739-3001
Mailing Address - Street 1:6957 W PLANO PKWY
Mailing Address - Street 2:SUITE 2000
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-1620
Mailing Address - Country:US
Mailing Address - Phone:972-820-9033
Mailing Address - Fax:972-820-9034
Practice Address - Street 1:6957 W PLANO PKWY
Practice Address - Street 2:SUITE 2000
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-1620
Practice Address - Country:US
Practice Address - Phone:972-820-9033
Practice Address - Fax:972-820-9034
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-25
Last Update Date:2008-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical