TEXAS HEALTH ORTHOPEDIC AND SPINE SURGERY CENTER
NPI 1407592769
Clinic/Center - Ambulatory Surgical in Willow Park, TX

Active since May 10, 2022CLIA 45D2280937 · Waiver
120 JIMMA DR, WILLOW PARK, TX 76087(833) 839-0007 Get Directions Write a Review

NPPES record last updated: October 31, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 31, 2023, Oct 27, 2023, May 10, 2022 (3 updates tracked since 2022).

About Texas Health Orthopedic And Spine Surgery Center NPPES

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

TEXAS HEALTH ORTHOPEDIC AND SPINE SURGERY CENTER (NPI 1407592769) is a healthcare organization registered as an ambulatory surgical in Willow Park, Texas and active in the NPI registry since May 2022. The organization holds a CLIA Waiver certificate valid through April 27, 2027 and lists Tracy Camp, Ceo, as its authorized official.

NPPES Registry Identity

NPI1407592769
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameTEXAS HEALTH SURGERY CENTER WILLOW PARK LLC
Location Address120 JIMMA DRWillow Park, TX 76087-1330
Mailing Address120 Jimma DrWillow Park, TX 76087-1330
Organization SubpartNo
Authorized OfficialTracy CampCeo · (940) 230-3449
Enumeration DateMay 10, 2022
Last NPPES UpdateOctober 31, 20233 updates tracked since enumeration
NPPES CertifiedOctober 31, 2023
NPI 1407592769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
120 JIMMA DR, Willow Park, TX 76087

Other Names 1

Doing Business AsTexas Health Orthopedic And Spine Surgery Center

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 45D2280937

Texas Health Surgery Center Willow Park, LLC · Willow Park, TX
Active · expires Apr 27, 2027
CLIA Number45D2280937
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateApril 28, 2025
Certificate Expiration DateApril 27, 2027
Laboratory DirectorJames M. Bothwell
Laboratory Phone(833) 839-0007
Laboratory LocationTexas Health Surgery Center Willow Park, LLC120 Jimma Dr, Willow Park, TX 76087
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 19

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.
8,246 services41 patients
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483
This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.
103 services63 patients
Injection of lower or sacral spine facet joint using imaging guidance, single level 64493
This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.
100 services43 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.
47 services41 patients
Injection of substance into lower spine canal using imaging guidance 62323
This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.
46 services42 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.
42 services23 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 Texas Health Surgery Center Willow Park LLC's NPI number?

The NPI number for Texas Health Surgery Center Willow Park LLC is 1407592769. It was assigned to this organization in the NPPES registry on May 10, 2022. The provider is doing business as Texas Health Orthopedic And Spine Surgery Center.

Where is Texas Health Surgery Center Willow Park LLC located?

Texas Health Surgery Center Willow Park LLC is located at 120 Jimma Dr, Willow Park, TX 76087. The listed phone number is (833) 839-0007.

What is Texas Health Surgery Center Willow Park LLC's specialty?

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

Does Texas Health Surgery Center Willow Park LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2280937) is associated with this NPI, valid through April 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Texas Health Surgery Center Willow Park LLC accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Texas Health Surgery Center Willow Park LLC 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 Texas Health Surgery Center Willow Park LLC was last updated on October 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.