National Provider Identifier Database

MAPLEWOOD AMBULATORY SURGERY CENTER INC
Ambulatory Surgical


Contact Information

MAPLEWOOD AMBULATORY SURGERY CENTER, INC.
4301 MAPLEWOOD AVENUE
SUITE C
WICHITA FALLS, TX76308
Phone: 940-696-8548
Fax: 940-696-8546
Website:
Specialty Taxonomy Code
* Ambulatory Surgical 261QA1903X

* Indicates primary specialty

NPI Profile & details for MAPLEWOOD AMBULATORY SURGERY CENTER, INC.

NPI Number 1861418378
Legal business name
LBN
MAPLEWOOD AMBULATORY SURGERY CENTER, INC.
Authorized official MARK WORKMAN - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 07/15/2006
Last updated 05/29/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers
  • TX License #: 000388
  • TX Medicaid: 0879546-01
  • TX Other: 000388 TX STATE LICENSE #

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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