Northeast Texas Surgery Center
NPI 1063498657 · Ambulatory Surgical Clinic/Center · Texarkana, TX
Northeast Texas Surgery Center is a Ambulatory Surgical Clinic/Center organization in Texarkana, TX (NPI 1063498657).
Provider details
- NPI number
- 1063498657
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Penny Burnham, Asc Director(903) 792-2108
- License
- 008109 (TX)
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Northeast Texas Surgical Center
Registry dates
- Enumerated
- 2005-12-16
- Last updated
- 2008-08-12
Frequently asked questions
- What is Northeast Texas Surgery Center's NPI number?
- Northeast Texas Surgery Center's National Provider Identifier (NPI) is 1063498657, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Northeast Texas Surgery Center?
- Northeast Texas Surgery Center is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Northeast Texas Surgery Center located?
- Northeast Texas Surgery Center's practice location on file with NPPES is 1902 Moores Ln, Texarkana, TX 75503-4610.
- What is Northeast Texas Surgery Center's phone number?
- The practice phone number listed in the NPPES registry for Northeast Texas Surgery Center is (903) 792-2108.
- Who is the authorized official for Northeast Texas Surgery Center?
- The authorized official listed on Northeast Texas Surgery Center's NPPES record is Penny Burnham, Asc Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Northeast Texas Surgery Center's NPI active?
- Yes — Northeast Texas Surgery Center's NPI (1063498657) is active in the NPPES registry as of the last update on 2008-08-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.