Local City Search for Surgeons and Surgical Clinics CENTENNIAL ASC, LLC
Surgery Yellow Pages
Frisco, Texas
Provider NPI: 1639146541
Organization Information:Organization Name: CENTENNIAL ASC, LLC
Practice Location:
4401 COIT RD SUITE 100 FRISCO, TX 75035 US
Tel: 214-619-0120 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
4401 COIT RD SUITE 100 FRISCO, TX 75035 US
Tel: 214-619-0120 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 261QA1903X | Ambulatory Health Care Facilities Clinic/Center Ambulatory Surgical | TX | 008203 |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| RAILROAD MEDICARE | P00617261 | TX | 01 |
| BCBS OF TX | HH065A | TX | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
