Water Leaf Surgery Center Management LLC
NPI 1164942157 · Electrodiagnostic Medicine Physician · Ft Worth, TX
Water Leaf Surgery Center Management LLC is a Electrodiagnostic Medicine Physician organization in Ft Worth, TX (NPI 1164942157).
Provider details
- NPI number
- 1164942157
- Entity type
- Organization
- Primary specialty
- Electrodiagnostic Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Gina Sullivan, Billing Manager(214) 269-3875
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
Registry dates
- Enumerated
- 2017-06-21
- Last updated
- 2017-06-21
Frequently asked questions
- What is Water Leaf Surgery Center Management LLC's NPI number?
- Water Leaf Surgery Center Management LLC's National Provider Identifier (NPI) is 1164942157, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Water Leaf Surgery Center Management LLC?
- Water Leaf Surgery Center Management LLC is classified in the NPPES registry as Electrodiagnostic Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Water Leaf Surgery Center Management LLC located?
- Water Leaf Surgery Center Management LLC's practice location on file with NPPES is 111 Boland St Ste 211, Ft Worth, TX 76107-1265.
- What is Water Leaf Surgery Center Management LLC's phone number?
- The practice phone number listed in the NPPES registry for Water Leaf Surgery Center Management LLC is (214) 269-3875.
- Who is the authorized official for Water Leaf Surgery Center Management LLC?
- The authorized official listed on Water Leaf Surgery Center Management LLC's NPPES record is Gina Sullivan, Billing Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Water Leaf Surgery Center Management LLC's NPI active?
- Yes — Water Leaf Surgery Center Management LLC's NPI (1164942157) is active in the NPPES registry as of the last update on 2017-06-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.