Provider Demographics
NPI:1235994120
Name:ADVANCEDCARE SURGERY CENTER PLLC
Entity Type:Organization
Organization Name:ADVANCEDCARE SURGERY CENTER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:SANEELA
Authorized Official - Middle Name:
Authorized Official - Last Name:KHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-610-6120
Mailing Address - Street 1:2071 N COLLINS BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080-2696
Mailing Address - Country:US
Mailing Address - Phone:732-610-6120
Mailing Address - Fax:
Practice Address - Street 1:2200 PHYSICIANS BLVD STE A
Practice Address - Street 2:
Practice Address - City:ENNIS
Practice Address - State:TX
Practice Address - Zip Code:75119-6248
Practice Address - Country:US
Practice Address - Phone:972-782-9090
Practice Address - Fax:972-764-8909
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-19
Last Update Date:2024-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty