Provider Demographics
NPI:1760912554
Name:BAYLOR SURGICARE AT BAYLOR PLANO, LLC
Entity Type:Organization
Organization Name:BAYLOR SURGICARE AT BAYLOR PLANO, LLC
Other - Org Name:BAYLOR SCOTT & WHITE SURGICARE AT PLANO ALLIANCE
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 1:4825 ALLIANCE BLVD STE 300
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-5504
Mailing Address - Country:US
Mailing Address - Phone:469-367-0700
Mailing Address - Fax:469-367-0770
Practice Address - Street 1:4825 ALLIANCE
Practice Address - Street 2:SUTE 300
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093
Practice Address - Country:US
Practice Address - Phone:469-367-0700
Practice Address - Fax:469-367-0770
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-14
Last Update Date:2023-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical