Provider Demographics
NPI:1942420328
Name:AMBULATORY PROCEDURE CENTER,LLC
Entity Type:Organization
Organization Name:AMBULATORY PROCEDURE CENTER,LLC
Other - Org Name:AMBULATORY PROCEDURE CENTER OF TEXAS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JEROME
Authorized Official - Middle Name:G
Authorized Official - Last Name:NAIFEH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-361-0016
Mailing Address - Street 1:2812 PRESTONWOOD DR
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-8849
Mailing Address - Country:US
Mailing Address - Phone:214-361-0016
Mailing Address - Fax:214-361-6484
Practice Address - Street 1:6300 W PARKER RD
Practice Address - Street 2:SUITE 420
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-8100
Practice Address - Country:US
Practice Address - Phone:214-361-0016
Practice Address - Fax:214-361-6484
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-26
Last Update Date:2010-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies