Provider Demographics
NPI:1508367194
Name:TEXAS HEALTH ORTHOPEDIC SURGERY CENTER ALLIANCE, LLC
Entity Type:Organization
Organization Name:TEXAS HEALTH ORTHOPEDIC SURGERY CENTER ALLIANCE, LLC
Other - Org Name:TEXAS HEALTH ORTHOPEDIC SURGERY CENTER HERITAGE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF ADMINISTRATIVE OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:LYNNE
Authorized Official - Middle Name:
Authorized Official - Last Name:PARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:682-312-6464
Mailing Address - Street 1:9848 N BEACH ST
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76244-6184
Mailing Address - Country:US
Mailing Address - Phone:682-312-6464
Mailing Address - Fax:817-431-0010
Practice Address - Street 1:9848 N BEACH ST
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76244-6184
Practice Address - Country:US
Practice Address - Phone:682-312-6464
Practice Address - Fax:817-431-0010
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-28
Last Update Date:2018-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical