Provider Demographics
NPI:1245657840
Name:SURGCENTER OF PLANO LLC
Entity type:Organization
Organization Name:SURGCENTER OF PLANO LLC
Other - Org Name:
Other - Org Type:
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 1:6101 WINDHAVEN PARKWAY
Mailing Address - Street 2:SUITE 195
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-8271
Mailing Address - Country:US
Mailing Address - Phone:469-209-7054
Mailing Address - Fax:
Practice Address - Street 1:6101 WINDHAVEN PARKWAY
Practice Address - Street 2:SUITE 195
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-8271
Practice Address - Country:US
Practice Address - Phone:469-209-7054
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-21
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical