Provider Demographics
NPI:1366680985
Name:PARK LANE SURGERY CENTER
Entity Type:Organization
Organization Name:PARK LANE SURGERY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RAMSEY
Authorized Official - Middle Name:J
Authorized Official - Last Name:CHOUCAIR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-754-9001
Mailing Address - Street 1:9301 N CENTRAL EXPY
Mailing Address - Street 2:SUITE # 551
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-0806
Mailing Address - Country:US
Mailing Address - Phone:214-754-9001
Mailing Address - Fax:214-754-9080
Practice Address - Street 1:9301 N CENTRAL EXPY
Practice Address - Street 2:SUITE # 551
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-0806
Practice Address - Country:US
Practice Address - Phone:214-754-9001
Practice Address - Fax:214-754-9080
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-04
Last Update Date:2009-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical