Provider Demographics
NPI:1740738897
Name:TAYLOR SURGERY CENTER, LLC
Entity Type:Organization
Organization Name:TAYLOR SURGERY CENTER, LLC
Other - Org Name:SURGICAL ARTS SURGERY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:GILBERT
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:MENELEY
Authorized Official - Suffix:JR
Authorized Official - Credentials:PHD
Authorized Official - Phone:479-443-5476
Mailing Address - Street 1:3733 N BUSINESS DR
Mailing Address - Street 2:SUITE 101
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72703-5203
Mailing Address - Country:US
Mailing Address - Phone:479-443-5476
Mailing Address - Fax:479-287-4138
Practice Address - Street 1:3733 N BUSINESS DR
Practice Address - Street 2:SUITE 101
Practice Address - City:FAYETTEVILLE
Practice Address - State:AR
Practice Address - Zip Code:72703-5203
Practice Address - Country:US
Practice Address - Phone:479-443-5476
Practice Address - Fax:479-287-4138
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-19
Last Update Date:2016-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty