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Northeast Texas Surgery Center

Ambulatory Surgical Clinic/Center in Texarkana, TX · enumerated 2005 · authorized official Penny Burnham, Asc Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1063498657

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Registry record

Entity type Organization (Type 2)
Legal business name Northeast Texas Surgery Center
Other name <Unavail>
Practice address 1902 Moores Ln, Suite B, Texarkana, TX, 75503
Fax (903) 792-0606
Enumeration date Dec 16, 2005
Last updated in NPPES Aug 12, 2008

Taxonomy & classification

261QA1903X Ambulatory Surgical Clinic/Center Ambulatory Health Care Facilities · License 008109 (TX) Secondary
261QA1903X Ambulatory Surgical Clinic/Center Ambulatory Health Care Facilities · License 008678 (TX) Primary

Authorized official

Name Penny Burnham
Title Asc Director

Other identifiers

Identifier Type State Issuer
10517 Other AR AR BCBS
HH1366 Other TX TX BCBS ID
126632128 Medicaid AR -
176285801 Medicaid TX -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Northeast Texas Surgery Center?
NPPES lists Penny Burnham (Asc Director) as the authorized official for this organization.
What is the NPI number for Northeast Texas Surgery Center?
The NPI for Northeast Texas Surgery Center is 1063498657, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-08-12.