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

Q: 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.

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: October 18, 2026.

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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Texoma Outpatient Surgery Center, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 7 clinicians reassign Medicare billing to Texoma Outpatient Surgery Center, Inc., which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Alexander Compton

Ophthalmology

NPI 1265990071

1704 11TH ST
Wichita Falls, TX 76301

(940) 723-1274

✔ PECOS✔ Accepts MedicareSame address

Brenda Porter