Provider Demographics
NPI:1851408389
Name:MACARTHUR SURGERY CENTER, L.P.
Entity Type:Organization
Organization Name:MACARTHUR SURGERY CENTER, L.P.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:E
Authorized Official - Last Name:BAYLESS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-438-5232
Mailing Address - Street 1:2120 N MACARTHUR BLVD
Mailing Address - Street 2:STE. 200
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75061-2221
Mailing Address - Country:US
Mailing Address - Phone:972-438-5232
Mailing Address - Fax:972-438-4317
Practice Address - Street 1:2120 MACARTHUR BLVD
Practice Address - Street 2:STE. 200
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75061
Practice Address - Country:US
Practice Address - Phone:972-438-5232
Practice Address - Fax:972-438-4317
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-23
Last Update Date:2014-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX008078261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
45C0001361Medicare ID - Type Unspecified