Provider Demographics
NPI:1043491244
Name:SIERRA SURGERY CENTER
Entity type:Organization
Organization Name:SIERRA SURGERY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NEIL
Authorized Official - Middle Name:HOWARD
Authorized Official - Last Name:SARETSKY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-368-4970
Mailing Address - Street 1:5468 LA SIERRA DR STE 100
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-4170
Mailing Address - Country:US
Mailing Address - Phone:214-368-4970
Mailing Address - Fax:214-368-0177
Practice Address - Street 1:5468 LA SIERRA DR STE 100
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-4170
Practice Address - Country:US
Practice Address - Phone:214-368-4970
Practice Address - Fax:214-368-0177
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-16
Last Update Date:2007-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2117261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical