Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Northeast Texas Surgery Center

Organization Ambulatory Surgical Clinic/Center · NPI 1063498657

Northeast Texas Surgery Center is an Ambulatory Surgical Clinic/Center in Texarkana, Texas. Licensed in Texas. Registered with an NPI since 2005.

Licensed in
TX
In the registry since
2005
Specialties on file
2

Practice location Address checks out

1902 Moores Ln Ste B
Texarkana, TX 75503-4610
Phone: (903) 792-2108
Fax: (903) 792-0606
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X · Licence 008678 (TX)
Ambulatory Surgical Clinic/Center Taxonomy 261QA1903X · Licence 008109 (TX)

Record details

NPI number1063498657
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Penny Burnham — Asc Director · (903) 792-2108
Other names Northeast Texas Surgical Center
NPI enumeratedDecember 16, 2005
Last updated in NPPESAugust 12, 2008
Mailing address1902 Moores Ln, Suite B, Texarkana, TX 75503-4610

Other providers in Texarkana