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

Park Hill Surgery Center, LLC

Organization Ambulatory Surgical Clinic/Center · NPI 1093120859

Park Hill Surgery Center, LLC is an Ambulatory Surgical Clinic/Center in Fort Worth, Texas. Registered with an NPI since 2014.

In the registry since
2014
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3455 Locke Ave Ste 100
Fort Worth, TX 76107-5745
Phone: (817) 585-1900
Fax: (817) 585-1899
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

Record details

NPI number1093120859
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jawad Qureshi — Board Chairman · (817) 773-0293
NPI enumeratedJune 30, 2014
Last updated in NPPESJanuary 26, 2024
Certification dateJanuary 26, 2024
Mailing address3455 Locke Ave, Suite 100, Fort Worth, TX 76107-5745

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