Provider Demographics
NPI:1265596787
Name:DALLAS DAY SURGERY CENTER
Entity type:Organization
Organization Name:DALLAS DAY SURGERY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:BYRD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-821-8613
Mailing Address - Street 1:411 NO WASHINGTON
Mailing Address - Street 2:SUITE 5400
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75246-1776
Mailing Address - Country:US
Mailing Address - Phone:214-821-8613
Mailing Address - Fax:214-821-4958
Practice Address - Street 1:411 NO WASHINGTON
Practice Address - Street 2:SUITE 5400
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75246-1776
Practice Address - Country:US
Practice Address - Phone:214-821-8613
Practice Address - Fax:214-821-4958
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-20
Last Update Date:2008-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX000244261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXHH1333OtherBLUE CROSS BLUE SHIELD
TXHH1333OtherBLUE CROSS BLUE SHIELD