| Organization Name: | SURGERY CENTER OF DUNCANVILLE, LP |
| NPI Number: | 1194727289 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DAVID P GROSS (ADMINISTRATOR) |
| Mailing Address: | 1018 E Wheatland Rd Duncanville |
| State: | TX US |
| Postal Code: | 751164914 |
| Phone Number: | 9722966912 |
| Fax Number: | 9722961387 |
| NPI Enumeration Date: | 06/02/2005 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | 007245 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |