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TEXOMA OUTPATIENT SURGERY CENTER, INC.
NPI 1063517316
Nurse Anesthetist, Certified Registered in Wichita Falls, TX

Active since September 13, 2006CLIA 45D0894518 · Waiver
1712 11TH ST, WICHITA FALLS, TX 76301(940) 723-2499(940) 723-2497 Get Directions Write a Review

NPPES record last updated: July 17, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Texoma Outpatient Surgery Center, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TEXOMA OUTPATIENT SURGERY CENTER, INC. (NPI 1063517316) is a healthcare organization registered as a nurse anesthetist, certified registered in Wichita Falls, Texas and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through November 15, 2026 and lists Tracy Youngblood, Rn/administrator, as its authorized official.

NPPES Registry Identity

NPI1063517316
Entity TypeOrganization
Primary Taxonomy367500000X
Legal Business NameTEXOMA OUTPATIENT SURGERY CENTER, INC.
Location Address1712 11TH STWichita Falls, TX 76301-5020
Mailing Address1712 11th StWichita Falls, TX 76301-5020 · (940) 723-2499 · Fax (940) 723-2497
Phone(940) 723-2499
Fax(940) 723-2497
Organization SubpartNo
Authorized OfficialTracy YoungbloodRn/administrator · (940) 723-2499
Enumeration DateSeptember 13, 2006
Last NPPES UpdateJuly 17, 2007
✔ NPI 1063517316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in TX · 317
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
1712 11TH ST, Wichita Falls, TX 76301
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Other Identifiers 2

Other00C10NTX · Bcbs
Medicare PIN00C10NTX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D0894518

Texoma Outpatient Surgery Center Inc · Wichita Falls, TX
Active · expires Nov 15, 2026
CLIA Number45D0894518
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateNovember 16, 2024
Certificate Expiration DateNovember 15, 2026
Laboratory DirectorPhillip W. Kelly MD
Laboratory Phone(940) 723-2499
Laboratory LocationTexoma Outpatient Surgery Center Inc1712 Eleventh Street, Wichita Falls, TX 76301
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TEXOMA OUTPATIENT SURGERY CENTER, INC.
Clinic/Center (Ambulatory Surgical)
1712 11TH ST
WICHITA FALLS, TX 76301
Wichita County (940) 723-2499
MARILYN BARRON CRNA
Nurse Anesthetist, Certified Registered
1712 11TH ST
WICHITA FALLS, TX 76301
Wichita County (940) 723-2499
MARGARET ROWAN CRNA
Nurse Anesthetist, Certified Registered
1712 11TH ST
WICHITA FALLS, TX 76301
Wichita County (940) 723-2499

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Texoma Outpatient Surgery Center, Inc.'s NPI number?

The NPI number for Texoma Outpatient Surgery Center, Inc. is 1063517316. It was assigned to this organization in the NPPES registry on September 13, 2006.

Where is Texoma Outpatient Surgery Center, Inc. located?

Texoma Outpatient Surgery Center, Inc. is located at 1712 11th St, Wichita Falls, TX 76301. The listed phone number is (940) 723-2499.

What is Texoma Outpatient Surgery Center, Inc.'s specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Does Texoma Outpatient Surgery Center, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D0894518) is associated with this NPI, valid through November 15, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Texoma Outpatient Surgery Center, Inc. was last updated on July 17, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.