Provider Demographics
NPI:1720604978
Name:TEXSCOPE, LLC
Entity Type:Organization
Organization Name:TEXSCOPE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ENDOSCOPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:CASEY
Authorized Official - Middle Name:
Authorized Official - Last Name:LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP, CNT
Authorized Official - Phone:214-233-6120
Mailing Address - Street 1:PO BOX 52206
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76206-2206
Mailing Address - Country:US
Mailing Address - Phone:214-952-1562
Mailing Address - Fax:
Practice Address - Street 1:1716 STONEGATE DR
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76205-5446
Practice Address - Country:US
Practice Address - Phone:214-952-1562
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-23
Last Update Date:2020-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0800XAmbulatory Health Care FacilitiesClinic/CenterEndoscopy