WEST MAGNOLIA SURGERY CENTER (NPI# 1629381967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629381967 |
| Entity Type | Organization |
| Organization Name | WEST MAGNOLIA SURGERY CENTER |
| Practice Address |
1200 W Magnolia Ave 110 Fort Worth TX 76104-4481 |
| Practice Telephone | 8178704833 |
| Practice Fax Number | 8178704893 |
| Mailing Telephone | 8178704833 |
| Mailing Fax Number | 8178704893 |
| Enumeration Date | 2010-07-15 |
| Last Update Date | 2010-07-28 |
| Authorized Official Name | DR. EMILY BLACKBURN MCLAUGHLIN (MANAGING PARTNER) |
| Authorized Official Telephone | 8178704833 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Street Address |
1200 W MAGNOLIA AVE 110 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76104-4481 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629224068 | Daniel Rayner Altman | Psychologist | 1200 W Magnolia Ave, Suite 210, Fort Worth, TX 76104-4481 | 2008-08-18 |
| 1881190080 | Jennifer Garrett | Massage Therapist | 1200 W Magnolia Ave, Fort Worth, TX 76104-4481 | 2018-04-05 |
| 1790108413 | Alan B Hurschman, M.d., P.a. | Physical Medicine & Rehabilitation | 1200 W Magnolia Ave, Suite 300, Fort Worth, TX 76104-4481 | 2014-01-31 |
| 1326329418 | Altman Psychological Services, Pllc | Psychologist | 1200 W Magnolia Ave, Suite 210, Fort Worth, TX 76104-4481 | 2011-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669082186 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 1115 8th St, Fort Worth, TX 76104 | 2020-08-10 |
| 1992343693 | Iris Giove | Psychologist | John Peter Smith Hospital, 1500 S. Main St., Fort Worth, TX 76104 | 2019-12-13 |
| 1104480656 | Swarnalaxmi Umapathy | Student in an Organized Health Care Education/Training Program | 900 8th Avenue, Fort Worth, TX 76104 | 2019-04-30 |
| 1881189132 | Mega Surgical Assistants LLC | Specialist/Technologist, Other | 1301pennsylvania, Fort Worth, TX 76104 | 2018-06-28 |
| 1356848899 | Tricia Kelly | Nurse Practitioner | 1325 Pennsylvania Avenue Suite 560, Fort Worth, TX 76104 | 2018-04-11 |
| 1952820979 | Modern Vein Clinic | Internal Medicine | 757 8th Avenue, Suite A, Forth Worth, TX 76104 | 2017-09-11 |
| 1790207165 | Vanessa Abbood | Dietitian, Registered | 900 Eighth Ave, Fns Department, Fort Worth, TX 76104 | 2017-07-07 |
| 1922537562 | Nicole Marie Tod | Student in an Organized Health Care Education/Training Program | 1500 S Main Street, Fort Worth, TX 76104 | 2017-06-07 |
| 1770025934 | Micah Bonola | Chiropractor | 1300 W. Rosedale St, Ste. A, Fort Worth, TX 76104 | 2016-11-04 |
| 1518315894 | United Bioscience, LLC. | Clinical Medical Laboratory | 901 W. Leuda St., B, Fort Worth, TX 76104 | 2016-05-27 |
| Find all providers in zip 76104 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720603079 | Texas Health Surgery Center Chisholm Trail, LLC | Clinic/Center | 5900 Altamesa Blvd, Fort Worth, TX 76132-5473 | 2020-06-12 |
| 1235752643 | Texas Health Surgery Center Southwest Fort Worth, LLC | Clinic/Center | 6317 Harris Pkwy Ste 200, Fort Worth, TX 76132-4257 | 2020-05-20 |
| 1770145351 | Texas Health Spine Surgery Center Alliance LLC | Clinic/Center | 10900 Founders Way, Suite 100, Fort Worth, TX 76244 | 2019-07-03 |
| 1750844049 | Fort Worth Surgical Center Lp | Clinic/Center | 6949 Bryant Irvin Road, Fort Worth, TX 76132 | 2019-04-12 |
| 1508367194 | Texas Health Orthopedic Surgery Center Alliance, LLC | Clinic/Center | 9848 N Beach St, Fort Worth, TX 76244-6184 | 2018-02-28 |
| 1740780956 | Psn Fw Holdco, LLC | Clinic/Center | 975 Haskell Street, Fort Worth, TX 76107 | 2018-02-14 |
| 1346751682 | Dru Riddle Anesthesia, Pllc | Clinic/Center | 2800 W Bowie St, Fort Worth, TX 76109-1706 | 2017-10-13 |
| 1952820680 | Emerald Laine, Pllc | Clinic/Center | 3836 Arundel Ave, Fort Worth, TX 76109-3542 | 2017-09-13 |
| 1104341254 | Texas Health Surgery Center Alliance, LLC | Clinic/Center | 10840 Texas Health Trl Ste 100, Fort Worth, TX 76244-6847 | 2017-08-10 |
| 1033399803 | Physicians Surgical Center of Ft. Worth, L.l.p | Clinic/Center | 975 Haskell St, Fort Worth, TX 76107-2653 | 2007-11-09 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76104 |
Please comment or provide details below to improve the information on WEST MAGNOLIA SURGERY CENTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.