OrganizationActive
Surgery Center of Crockett, LLC
NPI 1205146404 · Ambulatory Surgical Clinic/Center · Crockett, TX
Provider details
- NPI number
- 1205146404
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- John Walker, Medical Director(936) 307-9191
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
200 Renaissance Way
Crockett, TX 75835-1814
Phone: (936) 307-9191
Fax: (936) 544-7401
Approximate (ZIP-level) locationGet directions
Mailing address
200 Renaissance Way
Crockett, TX 75835-1814
Other names (DBA / former)
- Doing business as
- Renaissance Surgery Center
Registry dates
- Enumerated
- 2010-10-21
- Last updated
- 2010-10-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.