Local City Search for Surgeons and Surgical Clinics NORTHEAST TEXAS SURGERY CENTER
Surgery Yellow Pages
Texarkana, Texas
Provider NPI: 1063498657
Organization Information:Organization Name: NORTHEAST TEXAS SURGERY CENTER
Practice Location:
1902 MOORES LN SUITE B TEXARKANA, TX 75503 US
Tel: 903-792-2108 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:
1902 MOORES LN SUITE B TEXARKANA, TX 75503 US
Tel: 903-792-2108 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 261QA1903X | Ambulatory Health Care Facilities Clinic/Center Ambulatory Surgical | TX | 008109 |
| Y | 261QA1903X | Ambulatory Health Care Facilities Clinic/Center | TX | 008678 |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 176285801 | TX | 05 | |
| 126632128 | AR | 05 | |
| AR BCBS | 10517 | AR | 01 |
| TX BCBS ID | HH1366 | TX | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
