Provider Demographics
| NPI: | 1053714758 |
|---|---|
| Name: | TEXAS PRECISION SURGERY CENTER |
| Entity type: | Organization |
| Organization Name: | TEXAS PRECISION SURGERY CENTER |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | MARKET PRESIDENT |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | JILL |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | FINKE |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 757-344-8737 |
| Mailing Address - Street 1: | 5721 ESPLANADE DR |
| Mailing Address - Street 2: | |
| Mailing Address - City: | CORPUS CHRISTI |
| Mailing Address - State: | TX |
| Mailing Address - Zip Code: | 78414-4138 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 757-344-8737 |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 5721 ESPLANADE DR |
| Practice Address - Street 2: | |
| Practice Address - City: | CORPUS CHRISTI |
| Practice Address - State: | TX |
| Practice Address - Zip Code: | 78414-4138 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 361-334-1300 |
| Practice Address - Fax: | |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2014-10-08 |
| Last Update Date: | 2025-07-08 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 261QA1903X | Ambulatory Health Care Facilities | Clinic/Center | Ambulatory Surgical |
Provider Identifiers
| State | Identifier ID | ID Type | Issuer |
|---|---|---|---|
| TX | 351254301 | Medicaid |