BAYLOR SCOTT & WHITE SURGICARE - SOUTHLAKE
NPI 1295702942
Clinic/Center - Ambulatory Surgical in Southlake, TX

Active since March 01, 2006CLIA 45D0993380 · Waiver
905 E SOUTHLAKE BLVD, STE 200, SOUTHLAKE, TX 76092(817) 410-4300(817) 410-4303 Get Directions Write a Review

NPPES record last updated: October 7, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 7, 2024, May 9, 2023, Aug 20, 2019 and 2 more (5 updates tracked since 2019).

About Baylor Scott & White Surgicare - Southlake NPPES

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

BAYLOR SCOTT & WHITE SURGICARE - SOUTHLAKE (NPI 1295702942) is a healthcare organization registered as an ambulatory surgical in Southlake, Texas and active in the NPI registry since March 2006. The organization holds a CLIA Waiver certificate valid through November 13, 2027 and lists Donita Fleming, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1295702942
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameGRAPEVINE SURGICARE PARTNERS LTD
Location Address905 E SOUTHLAKE BLVD, STE 200Southlake, TX 76092-8602
Mailing Address905 E Southlake Blve, Ste 200Southlake, TX 76092-8602 · (817) 410-4300 · Fax (817) 410-4303
Fax(817) 410-4303
Organization SubpartNo
Authorized OfficialDonita FlemingAuthorized Official · (202) 815-3665
Enumeration DateMarch 1, 2006
Last NPPES UpdateOctober 7, 20245 updates tracked since enumeration
NPPES CertifiedOctober 7, 2024
NPI 1295702942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License Licensed in TX · 007819
905 E SOUTHLAKE BLVD, Southlake, TX 76092

Other Names 1

Doing Business AsBaylor Scott & White Surgicare - Southlake

Other Identifiers 2

Medicaid173382601TX
Other490005386TX · Railroad Medicare

Accepted Insurance

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 45D0993380

Baylor Scott & White Surgicare Southlake · Southlake, TX
Active · expires Nov 13, 2027
CLIA Number45D0993380
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateNovember 14, 2025
Certificate Expiration DateNovember 13, 2027
Laboratory DirectorPaul Y. Youn
Laboratory Phone(817) 410-4300
Laboratory LocationBaylor Scott & White Surgicare Southlake905 E Southlake Blvd, Southlake, TX 76092
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 16

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, bupivacaine liposome, 1 mg C9290
Bupivacaine liposome is a local anesthetic used to numb a specific area of the body and reduce pain or discomfort associated with surgical procedures. The 1 mg dosage is injected by a healthcare professional at the required site.
4,921 services22 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
71 services70 patients
Imaging guidance for procedure, 60 minutes or less 76000
Imaging guidance is a procedure where real-time images are used to direct medical tools during a treatment. This technique helps to improve accuracy and safety. The procedure typically lasts 60 minutes or less.
41 services40 patients
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint 64635
This procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.
38 services22 patients
Release and/or relocation of hand nerve 64721
This procedure involves adjusting or moving a nerve in your hand to alleviate discomfort or improve function. The nerve may be compressed, causing pain or numbness. By releasing or relocating the nerve, these symptoms can be reduced, enhancing hand usage.
32 services26 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
30 services29 patients

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 Grapevine Surgicare Partners Ltd's NPI number?

The NPI number for Grapevine Surgicare Partners Ltd is 1295702942. It was assigned to this organization in the NPPES registry on March 1, 2006. The provider is doing business as Baylor Scott & White Surgicare - Southlake.

Where is Grapevine Surgicare Partners Ltd located?

Grapevine Surgicare Partners Ltd is located at 905 E Southlake Blvd Ste 200, Southlake, TX 76092. The listed phone number is (817) 410-4300.

What is Grapevine Surgicare Partners Ltd's specialty?

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

Does Grapevine Surgicare Partners Ltd hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D0993380) is associated with this NPI, valid through November 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Grapevine Surgicare Partners Ltd accept?

Health plans from Baylor Scott and White Health Plan and Blue Cross and Blue Shield of Texas list Grapevine Surgicare Partners Ltd as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Grapevine Surgicare Partners Ltd was last updated on October 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.