PRECISION SURGERY CENTER, LLC. (NPI# 1669959151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669959151 |
| Entity Type | Organization |
| Organization Name | PRECISION SURGERY CENTER, LLC. |
| Practice Address |
1802 Moores Ln Texarkana TX 75503-4609 |
| Practice Telephone | 7142062154 |
| Mailing Telephone | 7142062154 |
| Enumeration Date | 2018-07-26 |
| Last Update Date | 2018-07-26 |
| Authorized Official Name | CHARLES GORDON (PRESIDENT) |
| Authorized Official Telephone | 7142062154 |
| 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 |
1802 MOORES LN |
| City | TEXARKANA |
| State | TX |
| Zip Code | 75503-4609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447561857 | James Michael Wages Jr. | Anesthesiology | 1802 Moores Ln, Texarkana, TX 75503-4609 | 2010-06-30 |
| 1750825253 | Leslie Howland | Nurse Practitioner | 1802 Moores Ln, Texarkana, TX 75503-4609 | 2016-12-19 |
| 1356784649 | Melinda Dyer Smith | Nurse Practitioner | 1802 Moores Ln, Texarkana, TX 75503-4609 | 2013-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770049397 | Jeffery Nash | Nurse Practitioner | #4 Valley View Circle, Texarkana, TX 75503 | 2019-02-19 |
| 1821583501 | Brandy D Acker | Psychologist | 3615 Richmond Rd, Texarkana, TX 75503 | 2018-06-26 |
| 1366935066 | Samantha Lee Harris | Nurse Practitioner | 4116 Mcknight Rd, Texarkana, TX 75503 | 2018-06-07 |
| 1811416910 | Heather Alison Gerber | Nurse Practitioner | 5903 Brenda Street, Texarkana, TX 75503 | 2017-09-11 |
| 1952838682 | John Kyle Abney | Counselor | 4134 Mcknight Rd, Texarkana, TX 75503 | 2017-05-12 |
| 1699151514 | Piney Woods Er IIi LLC | Clinic/Center | 4102 Gibson Lane, Texarkana, TX 75503 | 2015-08-03 |
| 1609282433 | Colby Rebecca Pair | Physician Assistant | 2604 St. Michael Dr., Suite 310, Texarkana, TX 75503 | 2014-07-01 |
| 1265842496 | Healthcare Express, LLP | Clinic/Center | 3513 Richmond Rd, Texarkana, TX 75503 | 2014-04-28 |
| 1134540628 | Eagle Dental Center of Texarkana Pllc | Dentist | 4009 Moores Ln, Texarkana, TX 75503 | 2013-12-30 |
| 1326481664 | Juancarlo S. Pascual | Family Medicine | 604 St. Michael Dr, Suite 340, Texarkana, TX 75503 | 2013-04-16 |
| Find all providers in zip 75503 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275574154 | Doctors Surgery Center of Texarkana | Clinic/Center | 3211 Sugar Hill Road, Suite 200, Texarkana, AR 71854-9219 | 2006-06-09 |
| 1437155207 | Texarkana Surgery Center Lp | Clinic/Center | 5404 Summerhill Rd, Texarkana, TX 75503-4607 | 2005-06-24 |
| 1962772871 | Surgery Center of Northeast Texas LLC | Clinic/Center | 1902 Moores Ln, Suite, B, Texarkana, TX 75503-4610 | 2012-01-09 |
| 1023297082 | Brim Healthcare of Texas LLC | Clinic/Center | 1000 Pine St, Day Surgery Unit, Texarkana, TX 75501-5100 | 2007-10-26 |
| 1528009453 | Tglp, Lp | Clinic/Center | 1920 Moores Ln, Suite B, Texarkana, TX 75503-4610 | 2006-06-10 |
| 1972562940 | Urology Surgery Center of Texarkana | Clinic/Center | 1902 Moores Ln, Second Floor, Texarkana, TX 75503-4610 | 2006-03-20 |
| 1063498657 | Northeast Texas Surgery Center | Clinic/Center | 1902 Moores Ln, Suite B, Texarkana, TX 75503-4610 | 2005-12-16 |
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|---|---|---|---|---|
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| 1730789231 | Zeo Surgical Center LLC | Clinic/Center | 4511 Horizon Hill Blvd Ste 100, San Antonio, TX 78229-2399 | 2020-10-26 |
| 1194323725 | Mission Surgery Center LLC | Clinic/Center | 603 E Amber St, Suite 103, San Antonio, TX 78221-7822 | 2020-10-15 |
| 1083211809 | Forest Landing Surgical Center LLC | Clinic/Center | 9303 New Trails Dr Ste 185, The Woodlands, TX 77381-5009 | 2020-10-05 |
| 1457968430 | Park Ventura Endoscopy Center, LLC | Clinic/Center | 981 State Highway 121, Suite 2100, Allen, TX 75013 | 2020-09-24 |
| 1851904056 | Zenith Surgery Center | Clinic/Center | 10710 Kuykendahl Rd Ste 160, The Woodlands, TX 77381-2695 | 2020-08-26 |
| 1063024719 | Horizon Surgery Center | Clinic/Center | 2813 Smith Ranch Rd Ste 180, Pearland, TX 77584-5254 | 2020-08-22 |
| 1376151944 | Rhythm Endovascular & Heart Asc LLC | Clinic/Center | 5418 N Loop 1604 W Ste 250, San Antonio, TX 78249-1207 | 2020-07-20 |
| 1720603079 | Texas Health Surgery Center Chisholm Trail, LLC | Clinic/Center | 5900 Altamesa Blvd, Fort Worth, TX 76132-5473 | 2020-06-12 |
| 1831714419 | Encor Asc, LLC | Clinic/Center | 103 Whispering Winds Dr, Gunter, TX 75058-2560 | 2020-06-10 |
| Find all providers with the same taxonomy | ||||
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| 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.