MAPLEWOOD AMBULATORY SURGERY CENTER, INC.; NPI #1861418378

Contact Information

MAPLEWOOD AMBULATORY SURGERY CENTER, INC.

4301 MAPLEWOOD AVENUE
SUITE C
WICHITA FALLS, TX 76308

Phone: 940-696-8548
Fax: 940-696-8546
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Ambulatory Surgical	261QA1903X	49	Ambulatory Surgical Center

Indicates primary specialty

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

NPI Number 1861418378

LBN Legal business name MAPLEWOOD AMBULATORY SURGERY CENTER, INC.

Authorized official MARK WORKMAN - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/15/2006

Last updated 05/29/2018 - About 8 years ago

Identifiers

TX	License #	000388
TX	Medicaid	0879546-01
TX	Other	000388	TX STATE LICENSE #

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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