TEXOMA SURGERY CENTER LLC - NPI 1740671429 - Clinic/Center in Wichita Falls, TX

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.

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About Texoma Surgery Center Llc NPPES

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

TEXOMA SURGERY CENTER LLC (NPI 1740671429) is a healthcare organization registered as an ambulatory surgical in Wichita Falls, Texas and active in the NPI registry since February 2015. The organization holds a CLIA Waiver certificate valid through November 23, 2027 and lists Phillip J Stephan, President, as its authorized official.

NPPES Registry Identity

NPI1740671429

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameTEXOMA SURGERY CENTER LLC

Location Address2200 KELL BLVDWichita Falls, TX 76309-4401

Mailing AddressPo Box 1011Wichita Falls, TX 76307-1011 · (940) 264-2600 · Fax (940) 264-2601

Phone(940) 264-2600

Fax(940) 264-2601

Organization SubpartNo

Authorized OfficialPhillip J StephanPresident · (940) 264-2600

Enumeration DateFebruary 17, 2015

✔ NPI 1740671429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

2200 KELL BLVD, Wichita Falls, TX 76309

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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 45D2334590

Texoma Surgery Center · Wichita Falls, TX

Active · expires Nov 23, 2027

CLIA Number45D2334590

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateNovember 24, 2025

Certificate Expiration DateNovember 23, 2027

Laboratory DirectorPhillip J. Stephan

Laboratory Phone(940) 264-2600

Laboratory LocationTexoma Surgery Center2200 Kell Blvd, Wichita Falls, TX 76309

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

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

MRS. CORENE CROUSE RN FNP

Nurse Practitioner (Family)