Provider Demographics
NPI:1548238140
Name:DENTON SURGICARE PARTNERS LTD
Entity Type:Organization
Organization Name:DENTON SURGICARE PARTNERS LTD
Other - Org Name:BAYLOR SCOTT & WHITE SURGICARE - DENTON
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICER/AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:DONITA
Authorized Official - Middle Name:
Authorized Official - Last Name:FLEMING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-815-3665
Mailing Address - Street 1:14201 DALLAS PKWY
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75254-2916
Mailing Address - Country:US
Mailing Address - Phone:972-763-3859
Mailing Address - Fax:726-926-7459
Practice Address - Street 1:350 S I-35 E
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76205-5376
Practice Address - Country:US
Practice Address - Phone:940-323-1393
Practice Address - Fax:940-320-0309
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-09
Last Update Date:2022-10-27
Deactivation Date:2006-03-09
Deactivation Code:
Reactivation Date:2007-04-26
Provider Licenses
StateLicense IDTaxonomies
TX007012261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX490004529OtherRAILROAD MEDICARE
TX0879694-01Medicaid
TX0879694-01Medicaid
TXASC064Medicare PIN