RENAISSANCE SURGERY CENTER
NPI 1205146404
Clinic/Center - Ambulatory Surgical in Crockett, TX

Active since October 21, 2010
200 RENAISSANCE WAY, CROCKETT, TX 75835(936) 307-9191(936) 544-7401 Get Directions Write a Review

NPPES record last updated: October 21, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Renaissance Surgery Center NPPES

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

RENAISSANCE SURGERY CENTER (NPI 1205146404) is a healthcare organization registered as an ambulatory surgical in Crockett, Texas and active in the NPI registry since October 2010. The organization lists John Patrick Walker, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1205146404
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSURGERY CENTER OF CROCKETT, LLC
Location Address200 RENAISSANCE WAYCrockett, TX 75835-1814
Mailing Address200 Renaissance WayCrockett, TX 75835-1814 · (936) 307-9191 · Fax (936) 544-7401
Fax(936) 544-7401
Organization SubpartNo
Authorized OfficialJohn Patrick WalkerMedical Director · (936) 307-9191
Enumeration DateOctober 21, 2010
NPI 1205146404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
200 RENAISSANCE WAY, Crockett, TX 75835

Other Names 1

Doing Business AsRenaissance Surgery Center

Other Providers at the Same Location NPPES 7

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

Nurse Practitioner
200 RENAISSANCE WAY, SUITE 100
CROCKETT, TX 75835
Nurse Practitioner (Family)
200 RENAISSANCE WAY, SUITE 100
CROCKETT, TX 75835
Surgery
200 RENAISSANCE WAY, SUITE 100
CROCKETT, TX 75835
Surgery
200 RENAISSANCE WAY
CROCKETT, TX 75835
Surgery
200 RENAISSANCE WAY, SUITE 100
CROCKETT, TX 75835
Surgery
200 RENAISSANCE WAY, SUITE 100
CROCKETT, TX 75835
Nurse Practitioner (Family)
200 RENAISSANCE WAY
CROCKETT, TX 75835

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 Surgery Center Of Crockett, LLC's NPI number?

The NPI number for Surgery Center Of Crockett, LLC is 1205146404. It was assigned to this organization in the NPPES registry on October 21, 2010. The provider is doing business as Renaissance Surgery Center.

Where is Surgery Center Of Crockett, LLC located?

Surgery Center Of Crockett, LLC is located at 200 Renaissance Way, Crockett, TX 75835. The listed phone number is (936) 307-9191.

What is Surgery Center Of Crockett, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

When was this NPI record last updated?

The NPPES record for Surgery Center Of Crockett, LLC was last updated on October 21, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.