Provider Demographics
NPI:1396700407
Name:ARLINGTON SURGERY CENTER, LLC
Entity type:Organization
Organization Name:ARLINGTON SURGERY CENTER, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CHIP
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAHN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-983-1378
Mailing Address - Street 1:918 N DAVIS DR
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76012-3226
Mailing Address - Country:US
Mailing Address - Phone:817-860-9933
Mailing Address - Fax:817-795-9662
Practice Address - Street 1:918 N DAVIS DR
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76012-3226
Practice Address - Country:US
Practice Address - Phone:817-860-9933
Practice Address - Fax:817-795-9662
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-20
Last Update Date:2017-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX000100261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX085850801Medicaid
TX451005Medicare PIN
TX085850801Medicaid
TX490001260Medicare PIN