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Profession Roster ReportLicense Type Code: 6813 - Rank Code: ALL -Status Code(s): 20,40,45 - Mdf: ALLOrder By NameAmbulatory Surgical CenterLIC#NameSelected Address(MA)PhoneExpiresRank DateOrig. Date0003532120 ANTILLEY 28/201611/28/2016CurrentABILENE CATARACT & REFRACTIVESURGERY CENTERStatus Date Status/Secondary StatusABILENE, TX 79606130397ABILENE CENTER FOR ORTHOPEDICAND MULTISPECIALTY SURGERY,LLC6449 CENTRAL PARK BLVDABILENE, TX 79606000301ABILENE ENDOSCOPY CENTER1249 AMBLER AVENUE SUITE 100ABILENE, TX 79601130494ABILENE SPINE & JOINT SURGERYCENTER LLC130000ABILENE SURGERY CENTER LLC4351 RIDGEMONT DR STE BABILENE, TX 796065601 HEALTH CENTER DRIVEABILENE, TX 79606130269ABILENE WHITE ROCK SURGERYCENTER, LLC130330ACPS - THE SURGICENTRE2401 N TREADAWAY BOULEVARDABILENE, TX 7960412727 KIMBERLEY LANE SUITE 100HOUSTON, TX 77024007835ACUTE AND CHRONIC PAINMANAGEMENT CENTER24 CARE CIRCLEAMARILLO, TX 79124008375ADC ENDOSCOPY SPECIALISTS1 CARE CIRCLEAMARILLO, TX 79124130311ADVANCED CARDIOVASCULARSURGERY CENTER AT METHODISTWEST HOUSTON18400 KATY FREEWAY SUITE 330130216ADVANCED SURGERY CENTER OF SANANTONIO LLC18414 US HIGHWAY 281 NORTH SUITE114SAN ANTONIO, TX 01/12/2015Current130370ADVANCED SURGICAL CARE OFBOERNE LLC138 OLD SAN ANTONIO ROAD 2018Current130404ADVANCED SURGICAL CENTER /22/2020Current130009ADVANCED SURGICAL CENTER ROUND 2021CurrentHOUSTON, TX 77094BOERNE, TX 780061901 MEDI- PARK BUILDING C SUITE 1AMARILLO, TX 791062000 SOUTH MAYS STREET SUITE 400ROUND ROCK, TX 786644/1/2021Page 1 of 39
Profession Roster ReportLicense Type Code: 6813 - Rank Code: ALL -Status Code(s): 20,40,45 - Mdf: ALLOrder By NameAmbulatory Surgical CenterLIC#NameSelected Address(MA)PhoneExpiresRank DateOrig. Date1303041018 E WHEATLAND CED SURGICAL CENTER LLCStatus Date Status/Secondary StatusDUNCANVILLE, TX 75116130238ALAMO CITY SURGERY CENTER PLLC7402 JOHN SMITH DRIVE SUITE 104SAN ANTONIO, TX 78229130451ALPHA SURGICAL CENTER24727 TOMBALL PARKWAY SUITE 100TOMBALL, TX 77375130517ALTUS BAYTOWN HOSPITAL720 1/2 ROLLINGBROOK DRBAYTOWN, TX 77521006946AMARILLO CATARACT AND EYESURGERY CENTER LTD130091AMARILLO COLONOSCOPY CENTER LP7310 FLEMING AVENUEAMARILLO, TX 79106800 QUAIL CREEK DRIVE SUITE 102AMARILLO, TX 79124007790AMARILLO ENDOSCOPY CENTER6833 PLUM CREEKAMARILLO, TX 79124130152AMBULATORY SURGICAL INSTITUTEOF DALLAS, LLC130435AMERICAN SURGERY CENTER17051 DALLAS PARKWAY, SUITE 100ADDISON, TX 7500112838 VISTA DEL NORTESAN ANTONIO, TX 78216130048ASC CENTER FOR CHANGE LLC119 VISION PARK BOULEVARDSHENANDOAH, TX 77384130483ASCENT SURGERY CENTER6957 WEST PLANO PKWY SUITE 1000PLANO, TX 75093130244AUA SURGICAL CENTER LLC8207 WEST AMARILLO BOULEVARDAMARILLO, TX 79124130375AUSTIN ACCESS CARE8620 BURNET ROAD SUITE 400AUSTIN, TX 78757130413AUSTIN ENDOSCOPY CENTER4310 JAMES CASEY STREET SUITE 4B2ND FLOORAUSTIN, TX /2018Current130453AUSTIN ENDOSCOPY CENTER3944 RANCH ROAD 620 SOUTH BLDG8 SUITE 103BEE CAVE, TX /2019Current130412AUSTIN ENDOSCOPY CENTER8015 SHOAL CREEK SUITE 018CurrentAUSTIN, TX 787574/1/2021Page 2 of 39
Profession Roster ReportLicense Type Code: 6813 - Rank Code: ALL -Status Code(s): 20,40,45 - Mdf: ALLOrder By NameAmbulatory Surgical CenterLIC#NameSelected Address(MA)PhoneExpiresRank DateOrig. Date00715311901 JOLLYVILLE 2008CurrentAUSTIN EYE LASER ANDSURGICENTERStatus Date Status/Secondary StatusAUSTIN, TX 78759130293AUSTIN FERTILITY SURGERY CENTER6500 NORTH MOPAC EXPRESSWAYBLDG 3 #3104AUSTIN, TX /2016Current130379AUSTIN MIDTOWN AMBULATORYSURGERY CENTER901 WEST 38TH STREET SUITE ntAUSTIN, TX 78705130373AZURA SURGERY CENTER STAR301 NORTH FRIO STREETSAN ANTONIO, TX 78207130357AZURA SURGICAL CENTER HOUSTON8537 C GULF FREEWAYHOUSTON, TX 77017000265BAILEY SQUARE SURGERY CENTER1111 WEST 34TH STREETAUSTIN, TX 78705130490BAPTIST BEAUMONT SURGICALAFFILIATES3560 COLLEGE STBEAUMONT, TX 77701008178BASSETT SURGERY CENTER6211 EDGEMEREEL PASO, TX 79925130176BAY AREA ENDOSCOPY444 FM 1959 SUITE BHOUSTON, TX 77034130134BAY AREA HOUSTON ENDOSCOPYCENTER1015 MEDICAL CENTER BLVD SUITE1200WEBSTER, TX /2012Current000315BAY AREA SURGICARE CENTER502 MEDICAL CENTER 2008Current469 800 8CurrentWEBSTER, TX 77598008136BAYLOR SCOTT & WHITEAMBULATORY ENDOCSCOPY CENTER4708 ALLIANCE BLVD SUITE 210PLANO, TX 75093130205BAYLOR SCOTT & WHITE HEART ANDVASCULAR HOSPITAL - FORT WORTH1400 8TH AVEFORT WORTH, TX 76104130458BAYLOR SCOTT & WHITE ORTHOPEDICSURGERY CENTER - WACO140 HILLCREST MEDICAL BLVD SUITE3.00WACO, TX /2020Current130387BAYLOR SCOTT & WHITE SPORTSSURGERY CENTER AT THE STAR3800 GAYLORD PARKWAY SUITE 018Current4/1/2021Page 3 of 39
Profession Roster ReportLicense Type Code: 6813 - Rank Code: ALL -Status Code(s): 20,40,45 - Mdf: ALLOrder By NameAmbulatory Surgical CenterLIC#NameSelected Address(MA)PhoneExpiresRank DateOrig. DateStatus Date Status/Secondary 5/201509/15/201512/17/2018CurrentFRISCO, TX 75034130173BAYLOR SCOTT & WHITE SURGERYCENTER WAXAHACHIE130257BAYLOR SCOTT & WHITE SURGICALHOSPITAL AT SHERMAN - OUTPATIENT130256BAYLOR SCOTT & WHITE SURGICALHOSPITAL ATSHERMAN-OPHTHALMOLOGY130191BAYLOR SCOTT & WHITE SURGICALHOSPITAL-FORT WORTH007062BAYLOR SCOTT & WHITE SURGICARE106 LUCASWAXAHACHIE, TX 751653601 NORTH CALAIS STREET SUITE ASHERMAN, TX 750901325 NORTH TRAVIS STREETSHERMAN, TX 75092914 LIPSCOMB STREETFORT WORTH, TX 761043920 WORTH STREETDALLAS, TX 75246130267BAYLOR SCOTT & WHITE SURGICAREFORT WORTH750 12TH AVENUEFORT WORTH, TX 76104008203BAYLOR SCOTT & WHITE SURGICAREAT CENTENNIAL4401 COIT ROAD SUITE 100130386BAYLOR SCOTT & WHITE SURGICAREAT PLANO ALLIANCE007914BAYLOR SCOTT & WHITE SURGICARECARROLLTON130006BAYLOR SCOTT & WHITE SURGICAREGRANBURY130258BAYLOR SCOTT & WHITE SURGICARENORTH DALLAS130082BAYLOR SCOTT & WHITE SURGICAREPLANO PARKWAY4031 WEST PLANO PARKWAY SUITE100PLANO, TX /2018Current008192BAYLOR SCOTT & WHITE SURGICARENORTH GARLAND7150 NORTH GEORGE BUSH HIGHWAYSUITE 019CurrentFRISCO, TX 750354825 ALLIANCE SUITE 300PLANO, TX 750934780 JOSEY LANE NORTHCARROLLTON, TX 750101717 PALUXY ROADGRANBURY, TX 7604812230 COIT ROAD, SUITE 200DALLAS, TX 752514/1/2021Page 4 of 39
Profession Roster ReportLicense Type Code: 6813 - Rank Code: ALL -Status Code(s): 20,40,45 - Mdf: ALLOrder By NameAmbulatory Surgical CenterLIC#NameSelected Address(MA)PhoneExpiresRank DateOrig. DateStatus Date Status/Secondary 1412/30/2014CurrentGARLAND, TX 75044008585BAYLOR SCOTT & WHITE SURGICAREPLANO008418BAYLOR SCOTT & WHITE SURGICAREROCKWALL007819BAYLOR SCOTT & WHITESURGICARE-GRAPEVINE130056BAYLOR SCOTT & WHITESURGICARE-MANSFIELD008555BAYLOR SCOTT & WHITESURGICARE-OAKMONT008239BAYLOR SCOTT & WHITE TEXAS SPINE& JOINT HOSPITAL SURGERY CENTER007012BAYLOR SCOTT& WHITE SURGICAREDENTON008512BAYLOR SURGICARE AT GARLAND1701 OHIO DRIVEPLANO, TX 75093-5208825 WEST YELLOW JACKET LANEROCKWALL, TX 750872040 WEST STATE HIGHWAY 114GRAPEVINE, TX 76051280 REGENCY PARKWAYMANSFIELD, TX 760637200 OAKMONT BOULEVARDFORT WORTH, TX 761323414 GOLDEN ROADTYLER, TX 75701350 SOUTH IH 35 EASTDENTON, TX 76205530 CLARA BARTON SUITE 100GARLAND, TX 75042130214BEAR CREEK SURGERY CENTER LLC100 BOURLAND RD SUITE 110KELLER, TX 76248130323BEAUMONT HEART & VASCULARSURGERY CENTER755 NORTH 11TH STREET SUITEP3970BBEAUMONT, TX /2017Current130380BELEZA SURGERY CENTER LLC9899 TOWNE LAKE PARKWAY SUITE200CYPRESS, TX /2018Current130032BELTLINE SURGERY CENTER LLC2858 NORTH BELTLINE ROAD /21/201504/21/2015CurrentSUNNYVALE, TX 75182130231BINZ SURGERY CENTER LLC1801 BINZ STREET SUITE 200HOUSTON, TX 77004130233BLUEBONNET SURGERY PAVILION LLC1324 BROWN ST SUITE 600WAXAHACHIE, TX 751654/1/2021Page 5 of 39
Profession Roster ReportLicense Type Code: 6813 - Rank Code: ALL -Status Code(s): 20,40,45 - Mdf: ALLOrder By NameAmbulatory Surgical CenterLIC#NameSelected Address(MA)PhoneExpiresRank DateOrig. Date000157103 PARKING 008CurrentBRAZOSPORT EYE INSTITUTEStatus Date Status/Secondary StatusLAKE JACKSON, TX 77566008161BRECKENRIDGE SURGERY CENTER3201 EAST GEORGE BUSH FREEWAYSUITE 100RICHARDSON, TX /2010Current130455BROWNSVILLE SURGERY CENTER5700 NORTH EXPRESSWAY SUITE SVILLE, TX 78526008592CALLOWAY CREEK SURGERY CENTER4300 CITY POINT DRIVE SUITE 100NORTH RICHLAND HILLS, TX 76180007960CAPLAN SURGERY CENTER3100 WESLAYAN SUITE 400HOUSTON, TX 77027130479CAPSTONE SURGERY CENTER LLC8700 S GESSNER ROAD SUITE 200HOUSTON, TX 77074130510CAREOS3705 MEDICAL PARKWAY SUITE 110AUSTIN, TX 78705130130CASTLE HILLS SURGERY CENTER1646 LOCKHILL SELMA RDSAN ANTONIO, TX 78213130333CASTLE HILLS SURGICARE LLC4221 MEDICAL PARKWAY BUILDING100 SUITE 100CARROLLTON, TX /2017Current007864CATARACT & SURGICAL CENTER OFLUBBOCK5109 80TH 3/2007Current130294CCA ASC, 199911/08/199910/20/2008CurrentLUBBOCK, TX 794246200 I - 40 WESTAMARILLO, TX 79106130394CCRM DALLAS FORT WORTH8380 WARREN PARKWAY #201FRISCO, TX 75034130079CEDAR PARK SURGERY CENTER LLC351 CYPRESS CREEK ROAD SUITE 102CEDAR PARK, TX 78613007127CENTER FOR ASSISTEDREPRODUCTION1701 PARK PLACE AVENUEBEDFORD, TX 76022130248CENTER FOR SPECIALTY SURGERY OFAUSTIN8015 SHOAL CREEK BOULEVARDSUITE100AUSTIN, TX /2015Current008380CENTRAL PARK SURGERY CENTER411 CENTRAL PARK /2008Current4/1/2021Page 6 of 39
Profession Roster ReportLicense Type Code: 6813 - Rank Code: ALL -Status Code(s): 20,40,45 - Mdf: ALLOrder By NameAmbulatory Surgical CenterLIC#NameSelected Address(MA)PhoneExpiresRank DateOrig. DateStatus Date Status/Secondary 3/202009/03/202009/16/2020CurrentARLINGTON, TX 76014130116CENTRAL PARK SURGERY CENTER900 WEST 38TH STREET SUITE 200AUSTIN, TX 78705130283CENTRAL POINT SURGERY CENTER11442 NORTH CENTRAL EXPRESSWAYDALLAS, TX 75243130129CENTRAL TEXAS DAY SURGERYCENTER3800 S W S YOUNG DRIVE SUITE 204KILLEEN, TX 76542007156CENTRAL TEXAS ENDOSCOPY CENTER2206 EAST VILLA MARIA ROADBRYAN, TX 77802130436CENTRUM SURGERY CENTER LLC2425 BABCOCK ROAD #106SAN ANTONIO, TX 78229130227CHI ST LUKES HEALTH BAYLORMEDICAL CENTER AMB SURGERYCENTER1977 BUTLER BOULEVARDHOUSTON, TX 77030130041CHILDREN 1ST DENTAL & SURGERYCENTER2690 N GALLOWAY AVENUEMESQUITE, TX 75150130188CHILDREN 1ST DENTAL & SURGERYCENTER8545 GULF FREEWAYHOUSTON, TX 77017130103CHILDREN 1ST GRAND PRAIRIE LLC3055 WEST BARDIN ROAD # 400GRAND PRAIRIE, TX 75052007908CHILDRENS PAVILION SURGERYCENTER130496CHOICE CARE SURGERY CENTER2350 STEMMONS FREEWAY SUITE 100DALLAS, TX 752072106 N MIDLAND DR STE 100MIDLAND, TX 79707130368CHRISTUS GOOD SHEPHERDAMBULATORY SURGICAL CENTER703 EAST MARSHALL AVENUE SUITE2000LONGVIEW, TX /2019Current130285CHRISTUS SANTA ROSA PHYSICIANSAMBULATORY SURGERY CENTER-SANMAR1305 WONDER WORLD DR SUITE 07/02/2009CurrentSAN MARCOS, TX 786661300144/1/2021CHRISTUS SANTA ROSA PHYSICIANSASC - NEW BRAUNFELS1738 EAST COMMON STREETPage 7 of 39
Profession Roster ReportLicense Type Code: 6813 - Rank Code: ALL -Status Code(s): 20,40,45 - Mdf: ALLOrder By NameAmbulatory Surgical CenterLIC#NameSelected Address(MA)PhoneExpiresRank DateOrig. DateStatus Date Status/Secondary /2011CurrentNEW BRAUNFELS, TX 78130007863CHRISTUS SPOHN CORPUS CHRISTIOUTPATIENT SURGERY008393CHRISTUS SPOHN SURGICARE OFCORPUS CHRISTI008396CHRISTUS SURGERY CENTER - STONEOAK130411CHRISTUS SURGERY CENTER OLYMPIAHILLS130430CHRISTUS SURGERY CENTER- ALAMOHEIGHTS130469CIGARROA INTERVENTIONALINSTITUTE008142CITYVIEW SURGERY CENTER3636 SOUTH ALAMEDA SUITE ACORPUS CHRISTI, TX 78411718 ELIZABETH STREETCORPUS CHRISTI, TX 78404502 MADISON OAK DRIVE SUITE 500SAN ANTONIO, TX 7825813525 CENTERBROOK SUITE 100UNIVERSAL CITY, TX 78148423 TREELINE PARK SUITE 202SAN ANTONIO, TX 782097105 N BARTLETT AVENUE SUITE 201LAREDO, TX 780416551 HARRIS PARKWAY, SUITE 100FORT WORTH, TX 76132130086CLEARVIEW SURGERY CENTER INC1980 EAST STATE HWY 114SOUTHLAKE, TX 76092130290CLEBURNE ENDOSCOPY CENTER1701 WALTER HOLLIDAY DRIVE SUITE100CLEBURNE, TX /2016Current000147COASTAL BEND AMBULATORYSURGICAL CENTER INC900 202210/05/201810/05/201810/05/2018CurrentCORPUS CHRISTI, TX 78404130525COASTAL CARDIOVASCULAR CENTER1025 MORGAN AVENUECORPUS CHRISTI, TX 78404130309COLLEGE PARK HEART & VASCULARSURGERY CENTER130419COMFORT SURGERY CENTER OF SANANTONIO LLC130406COMPLETE SURGERY HOUSTONNORTHWEST17183 I-45 SOUTH SUITE 360THE WOODLANDS, TX 773851919 ROGERS ROAD SUITE 102SAN ANTONIO, TX 782514/1/20211900 NORTH LOOP WEST SUITE 600Page 8 of 39
Profession Roster ReportLicense Type Code: 6813 - Rank Code: ALL -Status Code(s): 20,40,45 - Mdf: ALLOrder By NameAmbulatory Surgical CenterLIC#NameSelected Address(MA)PhoneExpiresRank DateOrig. DateStatus Date Status/Secondary 01/202010/01/202003/04/2021CurrentHOUSTON, TX 77018130470COMPLETE SURGERY MESQUITE3400 IH 30MESQUITE, TX 75150130472COOK CHILDRENS PEDIATRICSURGERY CENTER4200 W UNIVERSITY DRIVE SUITE 110130385COOK CHILDRENS SURGERY CENTERLLC130527COPPELL SURGERY CENTER OFHORIZON MEDICAL CENTER130033CORM SURGICENTER1015 MEDICAL CENTER BLVD SUITE2200WEBSTER, TX /2020Current008573CORPUS CHRISTI ENDOSCOPY CENTER6421 SARATOGA BLVD BUILDING 212/09/201612/09/201612/09/2016CurrentPROSPER, TX 750786316 PRECINCT LINE ROAD SUITE BHURST, TX 76054731 PLAZA BOULEVARDCOPPELL, TX 75019CORPUS CHRISTI, TX 78414130250COVENANT HIGH PLAINS SURGERYCENTER - 22ND STREET3610 22ND STREETLUBBOCK, TX 79410130251COVENANT HIGH PLAINS SURGERYCENTER - QUAKER AVENUE2301 QUAKER AVENUELUBBOCK, TX 79410130367CREEKSIDE SURGERY CENTER10847 KUYKENDAHL ROAD SUITE 150THE WOODLANDS, TX 77382130316CRENSHAW AMBULAT
130238 alamo city surgery center pllc 7402 john smith drive suite 104 2106144742 05/31/2023 05/22/2015 06/03/2016 current san antonio, tx 78229 130451 alpha surgical center 24727 tomball parkway suite 100 3463367800 1
