Provider Demographics
NPI:1396722112
Name:ARLINGTON SURGICARE PARTNERS, LTD
Entity type:Organization
Organization Name:ARLINGTON SURGICARE PARTNERS, LTD
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBBIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MCLEOD
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:817-860-6800
Mailing Address - Street 1:2400 MATLOCK RD
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76015-1618
Mailing Address - Country:US
Mailing Address - Phone:817-860-6800
Mailing Address - Fax:817-299-0964
Practice Address - Street 1:2400 MATLOCK RD
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76015-1618
Practice Address - Country:US
Practice Address - Phone:817-860-6800
Practice Address - Fax:817-299-0964
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-22
Last Update Date:2013-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX007143261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX171641701Medicaid
TX171641701Medicaid
TXASC081Medicare PIN