Provider Demographics
NPI:1487952909
Name:ELECTIVE SURGICAL CARE SPECIALISTS,PLLC
Entity type:Organization
Organization Name:ELECTIVE SURGICAL CARE SPECIALISTS,PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MGR/CPC
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:HOOVER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-265-0373
Mailing Address - Street 1:2500 DALLAS PKWY
Mailing Address - Street 2:SUITE 224
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-4867
Mailing Address - Country:US
Mailing Address - Phone:972-265-0370
Mailing Address - Fax:972-403-1265
Practice Address - Street 1:6513 PRESTON RD
Practice Address - Street 2:SUITE 300
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-2688
Practice Address - Country:US
Practice Address - Phone:972-608-2025
Practice Address - Fax:972-608-2032
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-08
Last Update Date:2011-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty