SURGERY CENTER OF NORTHEAST TEXAS
NPI 1962772871
Clinic/Center - Ambulatory Surgical in Texarkana, TX

Active since January 09, 2012CLIA 45D0894259 · Waiver
1902 MOORES LN, SUITE, B, TEXARKANA, TX 75503(903) 792-2108(903) 792-0606 Get Directions Write a Review

NPPES record last updated: May 12, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 12, 2022, Jan 27, 2020 (2 updates tracked since 2020).

About Surgery Center Of Northeast Texas NPPES

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

SURGERY CENTER OF NORTHEAST TEXAS (NPI 1962772871) is a healthcare organization registered as an ambulatory surgical in Texarkana, Texas and active in the NPI registry since January 2012. The organization holds a CLIA Waiver certificate valid through November 9, 2026 and lists Jeffrey E. Snodgrass, President, as its authorized official.

NPPES Registry Identity

NPI1962772871
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSURGERY CENTER OF NORTHEAST TEXAS LLC
Location Address1902 MOORES LN, SUITE, BTexarkana, TX 75503-4610
Mailing Address1a Burton Hills BlvdNashville, TN 37215-6187 · (615) 240-3741 · Fax (615) 234-1720
Fax(903) 792-0606
Organization SubpartNo
Authorized OfficialJeffrey E. SnodgrassPresident · (615) 665-1283
Enumeration DateJanuary 9, 2012
Last NPPES UpdateMay 12, 20222 updates tracked since enumeration
NPPES CertifiedMay 12, 2022
NPI 1962772871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
1902 MOORES LN, Texarkana, TX 75503

Other Names 1

Doing Business AsSurgery Center Of Northeast Texas

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 45D0894259

Surgery Center Of Northeast Texas · Texarkana, TX
Active · expires Nov 9, 2026
CLIA Number45D0894259
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateNovember 10, 2024
Certificate Expiration DateNovember 9, 2026
Laboratory DirectorTia Cooper
Laboratory Phone(903) 792-2108
Laboratory LocationSurgery Center Of Northeast Texas1902 Moores Lane Suite B, Texarkana, TX 75503
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 6

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.

Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
557 services305 patients
Biopsy of prostate gland 55700
A biopsy of the prostate gland is a procedure where a small sample of tissue is taken from your body's internal gland, located near the bladder, for testing. This helps in diagnosing potential health issues. It's usually done with a fine needle and imaging technology for accuracy.
31 services31 patients
Ultrasound scan of pelvic region through rectum 76872
An ultrasound scan of the pelvic region through the rectum is a medical procedure where a small, smooth device is gently inserted into the rectum. This device uses sound waves to create images of the internal structures in the lower abdomen, aiding in diagnosis and treatment planning.
29 services29 patients
Insertion of sacral nerve neurostimulator electrode array 64561
The insertion of a sacral nerve neurostimulator electrode array is a procedure where a small device is placed under your skin. This device sends mild electrical pulses to your sacral nerves, which can help manage certain body functions and alleviate symptoms.
24 services11 patients
Incision of tendon covering of finger 26055
This procedure involves making a small cut into the protective sheath around a finger tendon. It's typically done to relieve pressure or inflammation, improve finger movement, or treat conditions like trigger finger. It's a safe, often outpatient procedure.
21 services15 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.
12 services11 patients

Other Providers at the Same Location NPPES 13

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

Clinic/Center (Ambulatory Surgical)
1902 MOORES LN, SUITE B
TEXARKANA, TX 75503
Specialist
1902 MOORES LN
TEXARKANA, TX 75503
Urology
1902 MOORES LN
TEXARKANA, TX 75503
Durable Medical Equipment & Medical Supplies
1902 MOORES LN
TEXARKANA, TX 75503
Nurse Practitioner (Family)
1902 MOORES LN
TEXARKANA, TX 75503
Urology
1902 MOORES LN
TEXARKANA, TX 75503
Urology
1902 MOORES LN
TEXARKANA, TX 75503
Nurse Anesthetist, Certified Registered
1902 MOORES LN
TEXARKANA, TX 75503

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 Northeast Texas LLC's NPI number?

The NPI number for Surgery Center Of Northeast Texas LLC is 1962772871. It was assigned to this organization in the NPPES registry on January 9, 2012. The provider is doing business as Surgery Center Of Northeast Texas.

Where is Surgery Center Of Northeast Texas LLC located?

Surgery Center Of Northeast Texas LLC is located at 1902 Moores Ln Suite, B, Texarkana, TX 75503. The listed phone number is (903) 792-2108.

What is Surgery Center Of Northeast Texas LLC's specialty?

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

Does Surgery Center Of Northeast Texas LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D0894259) is associated with this NPI, valid through November 9, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Surgery Center Of Northeast Texas LLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 8 other insurers list Surgery Center Of Northeast Texas 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 Surgery Center Of Northeast Texas LLC was last updated on May 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.