PSA AMBULATORY SURGERY CENTER OF KILLEEN LLC – NPI #1003166844
Clinic/Center

PSA AMBULATORY SURGERY CENTER OF KILLEEN LLC is an AHC clinic located in KILLEEN, TX. NPPES has assigned the NPI number 1003166844 to PSA AMBULATORY SURGERY CENTER OF KILLEEN LLC on September 19, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 3 years ago on Aug 28, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PSA AMBULATORY SURGERY CENTER OF KILLEEN LLC below.

NPI Profile for
PSA AMBULATORY SURGERY CENTER OF KILLEEN LLC

NPI Number
1003166844
Enumeration Date

(more than 13 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PSA AMBULATORY SURGERY CENTER OF KILLEEN LLC
Primary location
2701 E. STAN SCHLUETER LOOP
KILLEEN, TX 76542
Phone: (512) 485-7200 Fax:
Mailing address
PO BOX 208367
DALLAS, TX 75320-8367
Phone: (512) 485-7208 Fax: (844) 264-8678
Organization Subpart
No
Authorized Official
DAVELYN MAHONEY
CREDENTIALING MANAGER
Phone: (512) 485-7208
Updated
Certification Date
Aug 28, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.