Provider Demographics
NPI:1669433736
Name:METROPLEX AMBULATORY SURGICAL CENTER
Entity type:Organization
Organization Name:METROPLEX AMBULATORY SURGICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:P
Authorized Official - Last Name:HOSLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-641-6751
Mailing Address - Street 1:2717 OSLER DR
Mailing Address - Street 2:SUITE 101
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75051-1069
Mailing Address - Country:US
Mailing Address - Phone:972-641-6751
Mailing Address - Fax:972-660-1822
Practice Address - Street 1:2717 OSLER DR
Practice Address - Street 2:SUITE 101
Practice Address - City:GRAND PRAIRIE
Practice Address - State:TX
Practice Address - Zip Code:75051-1069
Practice Address - Country:US
Practice Address - Phone:972-641-6751
Practice Address - Fax:972-660-1822
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-29
Last Update Date:2007-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF4869261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXB23587Medicare UPIN
TX451090Medicare ID - Type Unspecified