profession roster report - texas health and human services · 2021. 6. 15. · el paso, tx 79925...
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License Type Code: 6813 - Rank Code: ALL - Status Code(s): 20 - Mdf: ALL
Profession Roster Report
Order By Name
Ambulatory Surgical Center
LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName
ABILENE CATARACT & REFRACTIVE
SURGERY CENTER
000353 32569520202120 ANTILLEY ROAD 02/28/2022 08/31/1987 08/31/1987 02/14/2008 Current
ABILENE, TX 79606
ABILENE CENTER FOR ORTHOPEDIC
AND MULTISPECIALTY SURGERY,LLC
130397 32523281106449 CENTRAL PARK BLVD 07/31/2022 07/31/2018 07/31/2018 07/31/2018 Current
ABILENE, TX 79606
ABILENE ENDOSCOPY CENTER000301 32567726261249 AMBLER AVENUE SUITE 100 12/31/2021 12/06/1994 12/06/1994 11/13/2007 Current
ABILENE, TX 79601
ABILENE SPINE & JOINT SURGERY
CENTER LLC
130494 32579518884351 RIDGEMONT DR STE B 09/30/2022 09/01/2020 09/01/2020 09/01/2020 Current
ABILENE, TX 79606
ABILENE SURGERY CENTER LLC130000 32569044665601 HEALTH CENTER DRIVE 03/31/2023 03/11/2009 03/11/2009 01/15/2021 Current
ABILENE, TX 79606
ABILENE WHITE ROCK SURGERY
CENTER, LLC
130269 32567677002401 N TREADAWAY BOULEVARD 12/31/2021 12/01/2015 12/01/2015 12/01/2015 Current
ABILENE, TX 79604
ACPS - THE SURGICENTRE130330 713799999912727 KIMBERLEY LANE SUITE 100 04/30/2023 04/28/2017 04/28/2017 04/28/2017 Current
HOUSTON, TX 77024
ACUTE AND CHRONIC PAIN
MANAGEMENT CENTER
007835 806353610024 CARE CIRCLE 03/31/2022 03/25/2002 03/25/2002 02/19/2020 Current
AMARILLO, TX 79124
ADC ENDOSCOPY SPECIALISTS008375 80635317691 CARE CIRCLE 06/30/2022 06/22/2006 06/22/2006 05/13/2008 Current
AMARILLO, TX 79124
ADVANCED CARDIOVASCULAR
SURGERY CENTER AT METHODIST
WEST HOUSTON
130311 281829222618400 KATY FREEWAY SUITE 330 11/30/2022 11/28/2016 11/28/2016 11/28/2016 Current
HOUSTON, TX 77094
ADVANCED SURGERY CENTER OF SAN
ANTONIO LLC
130216 210455415018414 US HIGHWAY 281 NORTH SUITE
114
01/31/2023 01/09/2015 01/09/2015 01/12/2015 Current
SAN ANTONIO, TX 78259-7611
ADVANCED SURGICAL CARE OF
BOERNE LLC
130370 8304283166138 OLD SAN ANTONIO ROAD #400 02/28/2022 02/21/2018 02/21/2018 02/21/2018 Current
BOERNE, TX 78006
ADVANCED SURGICAL CENTER -
AMARILLO
130404 80651346771901 MEDI- PARK BUILDING C SUITE 1 09/30/2022 09/25/2018 09/25/2018 09/22/2020 Current
AMARILLO, TX 79106
ADVANCED SURGICAL CENTER -
ROUND ROCK
130009 51234122732000 SOUTH MAYS STREET SUITE 400 04/30/2023 04/27/2009 04/27/2009 03/16/2021 Current
ROUND ROCK, TX 78664
Page 1 of 396/9/2021
License Type Code: 6813 - Rank Code: ALL - Status Code(s): 20 - Mdf: ALL
Profession Roster Report
Order By Name
Ambulatory Surgical Center
LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName
ADVANCED SURGICAL CENTER LLC130304 46990488881018 E WHEATLAND ROAD 09/30/2022 09/06/2016 09/06/2016 09/06/2016 Current
DUNCANVILLE, TX 75116
ALAMO CITY SURGERY CENTER PLLC130238 21061447427402 JOHN SMITH DRIVE SUITE 104 05/31/2023 05/22/2015 05/22/2015 06/03/2016 Current
SAN ANTONIO, TX 78229
ALPHA SURGICAL CENTER130451 346336780024727 TOMBALL PARKWAY SUITE 100 11/30/2021 11/15/2019 11/15/2019 11/15/2019 Current
TOMBALL, TX 77375
ALTUS BAYTOWN HOSPITAL130517 2814228818720 1/2 ROLLINGBROOK DR 09/30/2022 09/11/2020 09/11/2020 12/21/2020 Current
BAYTOWN, TX 77521
AMARILLO CATARACT AND EYE
SURGERY CENTER LTD
006946 80635488917310 FLEMING AVENUE 12/31/2022 01/01/1999 01/01/1999 12/07/2010 Current
AMARILLO, TX 79106
AMARILLO COLONOSCOPY CENTER LP130091 8063678537800 QUAIL CREEK DRIVE SUITE 102 09/30/2021 09/09/2011 09/09/2011 09/09/2011 Current
AMARILLO, TX 79124
AMARILLO ENDOSCOPY CENTER007790 80646798206833 PLUM CREEK 09/30/2021 09/25/2001 09/25/2001 09/04/2007 Current
AMARILLO, TX 79124
AMBULATORY SURGICAL INSTITUTE
OF DALLAS, LLC
130152 972234474017051 DALLAS PARKWAY, SUITE 100 07/31/2023 07/11/2013 07/11/2013 07/12/2013 Current
ADDISON, TX 75001
AMERICAN SURGERY CENTER130435 210692021812838 VISTA DEL NORTE 05/31/2023 05/22/2019 05/22/2019 05/22/2019 Current
SAN ANTONIO, TX 78216
ASC CENTER FOR CHANGE LLC130048 2814191123119 VISION PARK BOULEVARD 07/31/2022 07/02/2010 07/02/2010 07/02/2010 Current
SHENANDOAH, TX 77384
ASCENT SURGERY CENTER130483 46998637006957 WEST PLANO PKWY SUITE 1000 05/31/2022 05/22/2020 05/22/2020 05/22/2020 Current
PLANO, TX 75093
AUA SURGICAL CENTER LLC130244 80635073888207 WEST AMARILLO BOULEVARD 07/31/2021 07/07/2015 07/07/2015 07/07/2015 Current
AMARILLO, TX 79124
AUSTIN ACCESS CARE130375 51233418108620 BURNET ROAD SUITE 400 03/31/2022 03/15/2018 03/15/2018 03/15/2018 Current
AUSTIN, TX 78757
AUSTIN ENDOSCOPY CENTER130412 51237115798015 SHOAL CREEK SUITE 300 09/30/2022 09/30/2018 12/03/2018 09/30/2018 Current
AUSTIN, TX 78757
AUSTIN ENDOSCOPY CENTER130413 51253280004310 JAMES CASEY STREET SUITE 4B
2ND FLOOR
09/30/2022 09/30/2018 12/03/2018 09/30/2018 Current
AUSTIN, TX 78745
AUSTIN ENDOSCOPY CENTER130453 73720776173944 RANCH ROAD 620 SOUTH BLDG
8 SUITE 103
11/30/2021 11/26/2019 11/26/2019 11/26/2019 Current
BEE CAVE, TX 78738
Page 2 of 396/9/2021
License Type Code: 6813 - Rank Code: ALL - Status Code(s): 20 - Mdf: ALL
Profession Roster Report
Order By Name
Ambulatory Surgical Center
LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName
AUSTIN EYE LASER AND
SURGICENTER
007153 512250202011901 JOLLYVILLE ROAD 02/28/2022 02/10/2000 02/10/2000 01/04/2008 Current
AUSTIN, TX 78759
AUSTIN FERTILITY SURGERY CENTER130293 51245101496500 NORTH MOPAC EXPRESSWAY
BLDG 3 #3104
06/30/2022 06/10/2016 06/10/2016 06/27/2016 Current
AUSTIN, TX 78731
AUSTIN MIDTOWN AMBULATORY
SURGERY CENTER
130379 5129920027901 WEST 38TH STREET SUITE 101 01/31/2022 01/04/2018 01/04/2018 04/04/2018 Current
AUSTIN, TX 78705
AXIS SURGERY CENTER LLC130531 71420621541110 E STATE HWY 114 SUITE 150 04/30/2023 04/14/2021 04/14/2021 04/14/2021 Current
SOUTHLAKE, TX 76092
AZURA SURGERY CENTER STAR130373 2104877827301 NORTH FRIO STREET 03/31/2022 03/02/2018 03/02/2018 10/09/2018 Current
SAN ANTONIO, TX 78207
AZURA SURGICAL CENTER HOUSTON130357 83238609008537 C GULF FREEWAY 12/31/2021 12/27/2017 12/27/2017 12/20/2018 Current
HOUSTON, TX 77017
BAILEY SQUARE SURGERY CENTER000265 51245467531111 WEST 34TH STREET 04/30/2022 04/20/1993 04/20/1993 03/27/2008 Current
AUSTIN, TX 78705
BAPTIST BEAUMONT SURGICAL
AFFILIATES
130490 40983570703560 COLLEGE ST 06/30/2022 06/30/2020 06/30/2020 07/13/2020 Current
BEAUMONT, TX 77701
BASSETT SURGERY CENTER008178 91588110106211 EDGEMERE 03/31/2022 03/04/2005 03/04/2005 01/29/2020 Current
EL PASO, TX 79925
BAY AREA ENDOSCOPY130176 2814819400444 FM 1959 SUITE B 12/31/2021 12/31/2013 02/12/2014 02/13/2014 Current
HOUSTON, TX 77034
BAY AREA HOUSTON ENDOSCOPY
CENTER
130134 28155434941015 MEDICAL CENTER BLVD SUITE
1200
12/31/2022 12/01/2012 12/03/2012 12/12/2012 Current
WEBSTER, TX 77598
BAY AREA SURGICARE CENTER000315 2813322433502 MEDICAL CENTER BLVD 04/30/2022 01/01/1986 01/01/1986 03/13/2008 Current
WEBSTER, TX 77598
BAYLOR SCOTT & WHITE
AMBULATORY ENDOCSCOPY CENTER
008136 469 800 60214708 ALLIANCE BLVD SUITE 210 11/30/2021 11/10/2004 11/10/2004 10/23/2019 Current
PLANO, TX 75093
BAYLOR SCOTT & WHITE HEART AND
VASCULAR HOSPITAL - FORT WORTH
130205 21482006001400 8TH AVE 09/30/2022 09/18/2014 09/18/2014 02/07/2018 Current
FORT WORTH, TX 76104
BAYLOR SCOTT & WHITE ORTHOPEDIC
SURGERY CENTER - WACO
130458 2542025810140 HILLCREST MEDICAL BLVD SUITE
3.00
01/31/2022 01/08/2020 01/08/2020 01/08/2020 Current
Page 3 of 396/9/2021
License Type Code: 6813 - Rank Code: ALL - Status Code(s): 20 - Mdf: ALL
Profession Roster Report
Order By Name
Ambulatory Surgical Center
LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName
WACO, TX 76712
BAYLOR SCOTT & WHITE SPORTS
SURGERY CENTER AT THE STAR
130387 97266859113800 GAYLORD PARKWAY SUITE 410 05/31/2022 05/11/2018 05/11/2018 05/11/2018 Current
FRISCO, TX 75034
BAYLOR SCOTT & WHITE SURGERY
CENTER WAXAHACHIE
130173 4698438000106 LUCAS 09/30/2021 09/03/2013 01/10/2014 01/13/2014 Current
WAXAHACHIE, TX 75165
BAYLOR SCOTT & WHITE SURGICAL
HOSPITAL AT SHERMAN - OUTPATIENT
130257 90387009993601 NORTH CALAIS STREET SUITE A 05/31/2023 06/01/2015 06/01/2015 09/10/2015 Current
SHERMAN, TX 75090
BAYLOR SCOTT & WHITE SURGICAL
HOSPITAL-FORT WORTH
130191 8176324534914 LIPSCOMB STREET 12/31/2021 12/31/2013 06/11/2014 11/25/2019 Current
FORT WORTH, TX 76104
BAYLOR SCOTT & WHITE SURGICARE007062 97296116853920 WORTH STREET 07/31/2023 07/16/1999 07/16/1999 10/22/2018 Current
DALLAS, TX 75246
BAYLOR SCOTT & WHITE SURGICARE
FORT WORTH
130267 8173345100750 12TH AVENUE 11/30/2021 11/16/2015 11/16/2015 05/09/2019 Current
FORT WORTH, TX 76104
BAYLOR SCOTT & WHITE SURGICARE
AT CENTENNIAL
008203 21461901204401 COIT ROAD SUITE 100 04/30/2023 04/12/2005 04/12/2005 04/27/2007 Current
FRISCO, TX 75035
BAYLOR SCOTT & WHITE SURGICARE
AT PLANO ALLIANCE
130386 46932586934825 ALLIANCE SUITE 300 05/31/2022 05/07/2018 05/07/2018 05/07/2018 Current
PLANO, TX 75093
BAYLOR SCOTT & WHITE SURGICARE
CARROLLTON
007914 97239504404780 JOSEY LANE NORTH 01/31/2023 01/17/2003 01/17/2003 05/09/2019 Current
CARROLLTON, TX 75010
BAYLOR SCOTT & WHITE SURGICARE
DENTON
007012 9403231393350 SOUTH IH 35 EAST 06/30/2023 06/15/1999 06/15/1999 12/14/2018 Current
DENTON, TX 76205
BAYLOR SCOTT & WHITE SURGICARE
GRANBURY
130006 81757988631717 PALUXY ROAD 04/30/2023 04/17/2009 04/17/2009 12/17/2018 Current
GRANBURY, TX 76048
BAYLOR SCOTT & WHITE SURGICARE
NORTH DALLAS
130258 469374640012230 COIT ROAD, SUITE 200 09/30/2021 09/15/2015 09/15/2015 12/17/2018 Current
DALLAS, TX 75251
BAYLOR SCOTT & WHITE SURGICARE
PLANO PARKWAY
130082 46932602024031 WEST PLANO PARKWAY SUITE
100
03/31/2023 03/01/2011 04/01/2011 12/20/2018 Current
PLANO, TX 75093
Page 4 of 396/9/2021
License Type Code: 6813 - Rank Code: ALL - Status Code(s): 20 - Mdf: ALL
Profession Roster Report
Order By Name
Ambulatory Surgical Center
LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName
BAYLOR SCOTT & WHITE SURGICARE-
NORTH GARLAND
008192 21470318007150 NORTH GEORGE BUSH HIGHWAY
SUITE 101
04/30/2023 04/04/2005 04/04/2005 01/15/2019 Current
GARLAND, TX 75044
BAYLOR SCOTT & WHITE SURGICARE-
PLANO
008585 21429130001701 OHIO DRIVE 11/30/2021 11/15/2007 11/15/2007 04/16/2019 Current
PLANO, TX 75093-5208
BAYLOR SCOTT & WHITE SURGICARE-
ROCKWALL
008418 9727726166825 WEST YELLOW JACKET LANE 10/31/2022 09/01/2006 09/01/2006 05/09/2019 Current
ROCKWALL, TX 75087
BAYLOR SCOTT & WHITE
SURGICARE-GRAPEVINE
007819 81741043002040 WEST STATE HIGHWAY 114 01/31/2022 01/02/2002 01/02/2002 05/09/2019 Current
GRAPEVINE, TX 76051
BAYLOR SCOTT & WHITE
SURGICARE-MANSFIELD
130056 8174532744280 REGENCY PARKWAY 10/31/2022 10/14/2010 10/14/2010 05/09/2019 Current
MANSFIELD, TX 76063
BAYLOR SCOTT & WHITE
SURGICARE-OAKMONT
008555 81773233007200 OAKMONT BOULEVARD 09/30/2021 09/06/2007 09/06/2007 09/06/2007 Current
FORT WORTH, TX 76132
BAYLOR SCOTT & WHITE TEXAS SPINE
& JOINT HOSPITAL SURGERY CENTER
008239 90352533303414 GOLDEN ROAD 07/31/2021 07/13/2005 07/13/2005 06/08/2007 Current
TYLER, TX 75701
BAYLOR SURGICARE AT GARLAND008512 9724942400530 CLARA BARTON SUITE 100 05/31/2023 05/14/2007 05/14/2007 05/14/2007 Current
GARLAND, TX 75042
BEAR CREEK SURGERY CENTER LLC130214 8175189130100 BOURLAND RD SUITE 110 12/31/2022 12/30/2014 12/30/2014 12/30/2014 Current
KELLER, TX 76248
BEAUMONT HEART & VASCULAR
SURGERY CENTER
130323 4099243996755 NORTH 11TH STREET SUITE
P3970B
01/31/2023 01/20/2017 01/20/2017 01/20/2017 Current
BEAUMONT, TX 77702
BELEZA SURGERY CENTER LLC130380 71379922789899 TOWNE LAKE PARKWAY SUITE
200
04/30/2022 04/06/2018 04/06/2018 04/06/2018 Current
CYPRESS, TX 77433
BELTLINE SURGERY CENTER LLC130032 97220387872858 NORTH BELTLINE ROAD #100 02/28/2022 02/11/2010 02/11/2010 02/11/2010 Current
SUNNYVALE, TX 75182
BINZ SURGERY CENTER LLC130231 71360089191801 BINZ STREET SUITE 200 04/30/2023 04/16/2015 04/16/2015 04/16/2015 Current
HOUSTON, TX 77004
BLUEBONNET SURGERY PAVILION LLC130233 97293740001324 BROWN ST SUITE 600 04/30/2023 04/21/2015 04/21/2015 04/21/2015 Current
WAXAHACHIE, TX 75165
BRAZOSPORT EYE INSTITUTE000157 9792972961103 PARKING WAY 03/31/2022 03/12/1986 03/12/1986 02/07/2008 Current
Page 5 of 396/9/2021
License Type Code: 6813 - Rank Code: ALL - Status Code(s): 20 - Mdf: ALL
Profession Roster Report
Order By Name
Ambulatory Surgical Center
LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName
LAKE JACKSON, TX 77566
BRECKENRIDGE SURGERY CENTER008161 97247058593201 EAST GEORGE BUSH FREEWAY
SUITE 100
01/31/2023 01/31/2005 01/31/2005 12/23/2010 Current
RICHARDSON, TX 75082
BROWNSVILLE SURGERY CENTER130455 95670822425700 NORTH EXPRESSWAY SUITE 201 12/31/2021 12/30/2019 12/30/2019 01/02/2020 Current
BROWNSVILLE, TX 78526
CALLOWAY CREEK SURGERY CENTER008592 81754840004300 CITY POINT DRIVE SUITE 100 11/30/2021 11/29/2007 11/29/2007 02/20/2014 Current
NORTH RICHLAND HILLS, TX 76180
CAPLAN SURGERY CENTER007960 71352616003100 WESLAYAN SUITE 400 06/30/2023 06/20/2003 06/20/2003 05/30/2007 Current
HOUSTON, TX 77027
CAPSTONE SURGERY CENTER LLC130479 83283156918700 S GESSNER ROAD SUITE 200 02/28/2022 03/01/2020 03/01/2020 05/08/2020 Current
HOUSTON, TX 77074
CAREOS130510 51245843913705 MEDICAL PARKWAY SUITE 110 10/31/2022 11/01/2020 11/01/2020 11/19/2020 Current
AUSTIN, TX 78705
CASTLE HILLS SURGERY CENTER130130 21021853671646 LOCKHILL SELMA RD 10/31/2022 10/30/2012 10/30/2012 09/24/2014 Current
SAN ANTONIO, TX 78213
CASTLE HILLS SURGICARE LLC130333 97293921414221 MEDICAL PARKWAY BUILDING
100 SUITE 100
05/31/2023 05/30/2017 05/30/2017 05/30/2017 Current
CARROLLTON, TX 75010
CATARACT & SURGICAL CENTER OF
LUBBOCK
007864 80679259005109 80TH STREET 08/31/2021 08/12/2002 08/12/2002 08/23/2007 Current
LUBBOCK, TX 79424
CCA ASC, LLC130294 80635497646200 I - 40 WEST 07/31/2022 07/01/2016 07/01/2016 07/01/2016 Current
AMARILLO, TX 79106
CCRM DALLAS FORT WORTH130394 97237726258380 WARREN PARKWAY #201 05/31/2022 05/30/2018 07/17/2018 05/30/2018 Current
FRISCO, TX 75034
CEDAR PARK SURGERY CENTER LLC130079 5124989006351 CYPRESS CREEK ROAD SUITE 102 02/28/2023 02/21/2011 02/21/2011 07/08/2016 Current
CEDAR PARK, TX 78613
CENTER FOR ASSISTED
REPRODUCTION
007127 81754011571701 PARK PLACE AVENUE 11/30/2022 11/08/1999 11/08/1999 10/20/2008 Current
BEDFORD, TX 76022
CENTER FOR SPECIALTY SURGERY OF
AUSTIN
130248 51258484108015 SHOAL CREEK BOULEVARD
SUITE100
08/31/2021 08/03/2015 08/03/2015 08/03/2015 Current
AUSTIN, TX 78757
CENTRAL PARK SURGERY CENTER008380 8177848300411 CENTRAL PARK DRIVE 07/31/2022 07/14/2006 07/14/2006 07/08/2008 Current
ARLINGTON, TX 76014
Page 6 of 396/9/2021
License Type Code: 6813 - Rank Code: ALL - Status Code(s): 20 - Mdf: ALL
Profession Roster Report
Order By Name
Ambulatory Surgical Center
LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName
CENTRAL PARK SURGERY CENTER130116 5123232061900 WEST 38TH STREET SUITE 200 07/31/2022 07/01/2012 07/03/2012 07/01/2012 Current
AUSTIN, TX 78705
CENTRAL POINT SURGERY CENTER130283 214754000011442 NORTH CENTRAL EXPRESSWAY 03/31/2022 03/11/2016 03/11/2016 03/11/2016 Current
DALLAS, TX 75243
CENTRAL TEXAS DAY SURGERY
CENTER
130129 25421304893800 S W S YOUNG DRIVE SUITE 204 10/31/2022 10/24/2012 10/24/2012 10/24/2012 Current
KILLEEN, TX 76542
CENTRAL TEXAS ENDOSCOPY CENTER007156 97977442112206 EAST VILLA MARIA ROAD 02/28/2023 02/17/2000 02/17/2000 02/03/2011 Current
BRYAN, TX 77802
CENTRUM SURGERY CENTER LLC130436 83034611302425 BABCOCK ROAD #106 04/30/2023 04/05/2019 06/11/2019 04/05/2019 Current
SAN ANTONIO, TX 78229
CHI ST LUKES HEALTH BAYLOR
MEDICAL CENTER AMB SURGERY
CENTER
130227 71379823051977 BUTLER BOULEVARD 02/28/2023 02/16/2015 02/16/2015 02/16/2015 Current
HOUSTON, TX 77030
CHILDREN 1ST DENTAL & SURGERY
CENTER
130041 97227912002690 N GALLOWAY AVENUE 05/31/2022 05/13/2010 05/13/2010 05/13/2010 Current
MESQUITE, TX 75150
CHILDREN 1ST DENTAL & SURGERY
CENTER
130188 71394477008545 GULF FREEWAY 04/30/2022 04/24/2014 04/24/2014 04/24/2014 Current
HOUSTON, TX 77017
CHILDREN 1ST GRAND PRAIRIE LLC130103 21441215003055 WEST BARDIN ROAD # 400 02/28/2022 02/17/2012 02/17/2012 01/24/2020 Current
GRAND PRAIRIE, TX 75052
CHILDRENS PAVILION SURGERY
CENTER
007908 21445611002350 STEMMONS FREEWAY SUITE 100 12/31/2021 12/30/2002 12/30/2002 12/11/2019 Current
DALLAS, TX 75207
CHOICE CARE SURGERY CENTER130496 43242322722106 N MIDLAND DR STE 100 09/30/2022 09/03/2020 09/03/2020 09/16/2020 Current
MIDLAND, TX 79707
CHRISTUS GOOD SHEPHERD
AMBULATORY SURGICAL CENTER
130368 9033155300703 EAST MARSHALL AVENUE SUITE
2000
08/31/2021 09/01/2017 02/20/2018 10/04/2019 Current
LONGVIEW, TX 75601
CHRISTUS MOTHER FRANCES
HOSPITAL - TYLER
130247 90360639001720 SOUTH BECKHAM, SUITE 103 06/30/2023 06/26/2015 06/26/2015 12/08/2015 Current
TYLER, TX 75701
CHRISTUS SANTA ROSA PHYSICIANS
AMBULATORY SURGERY CENTER-SAN
MAR
130285 51235381611305 WONDER WORLD DR SUITE 105 03/31/2022 03/31/2016 03/31/2016 03/31/2016 Current
SAN MARCOS, TX 78666
Page 7 of 396/9/2021
License Type Code: 6813 - Rank Code: ALL - Status Code(s): 20 - Mdf: ALL
Profession Roster Report
Order By Name
Ambulatory Surgical Center
LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName
CHRISTUS SANTA ROSA PHYSICIANS
ASC - NEW BRAUNFELS
130014 83064386001738 EAST COMMON STREET 07/31/2023 07/02/2009 07/02/2009 07/02/2009 Current
NEW BRAUNFELS, TX 78130
CHRISTUS SPOHN CORPUS CHRISTI
OUTPATIENT SURGERY
007863 36185322003636 SOUTH ALAMEDA SUITE A 07/31/2022 07/30/2002 07/30/2002 02/18/2009 Current
CORPUS CHRISTI, TX 78411
CHRISTUS SPOHN SURGICARE OF
CORPUS CHRISTI
008393 3618823204718 ELIZABETH STREET 08/31/2022 09/01/2006 09/01/2006 07/23/2008 Current
CORPUS CHRISTI, TX 78404
CHRISTUS SURGERY CENTER - STONE
OAK
008396 2104996700502 MADISON OAK DRIVE SUITE 500 09/30/2022 09/19/2006 09/19/2006 08/25/2020 Current
SAN ANTONIO, TX 78258
CHRISTUS SURGERY CENTER OLYMPIA
HILLS
130411 210499679013525 CENTERBROOK SUITE 100 09/30/2022 10/01/2018 11/15/2018 10/01/2018 Current
UNIVERSAL CITY, TX 78148
CHRISTUS SURGERY CENTER- ALAMO
HEIGHTS
130430 2109496000423 TREELINE PARK SUITE 202 04/30/2023 04/12/2019 04/12/2019 04/12/2019 Current
SAN ANTONIO, TX 78209
CIGARROA INTERVENTIONAL
INSTITUTE
130469 95623526097105 N BARTLETT AVENUE SUITE 201 03/31/2022 03/20/2020 03/20/2020 03/20/2020 Current
LAREDO, TX 78041
CITYVIEW SURGERY CENTER008142 81778150076551 HARRIS PARKWAY, SUITE 100 11/30/2021 11/23/2004 11/23/2004 10/25/2007 Current
FORT WORTH, TX 76132
CLEARVIEW SURGERY CENTER INC130086 81732927001980 EAST STATE HWY 114 12/31/2022 12/31/2010 06/08/2011 11/15/2011 Current
SOUTHLAKE, TX 76092
CLEBURNE ENDOSCOPY CENTER130290 81789500951701 WALTER HOLLIDAY DRIVE SUITE
100
05/31/2022 05/20/2016 05/20/2016 05/20/2016 Current
CLEBURNE, TX 76033
COASTAL BEND AMBULATORY
SURGICAL CENTER INC
000147 3618884288900 MORGAN 12/31/2021 01/01/1986 01/01/1986 12/03/2007 Current
CORPUS CHRISTI, TX 78404
COASTAL CARDIOVASCULAR CENTER130525 36188432781025 MORGAN AVENUE 02/28/2023 02/23/2021 02/23/2021 02/23/2021 Current
CORPUS CHRISTI, TX 78404
COLLEGE PARK HEART & VASCULAR
SURGERY CENTER
130309 936321008017183 I-45 SOUTH SUITE 360 11/30/2022 11/17/2016 11/17/2016 11/17/2016 Current
THE WOODLANDS, TX 77385
COMFORT SURGERY CENTER OF SAN
ANTONIO LLC
130419 21026780001919 ROGERS ROAD SUITE 102 01/31/2023 01/16/2019 01/16/2019 01/16/2019 Current
SAN ANTONIO, TX 78251
Page 8 of 396/9/2021
License Type Code: 6813 - Rank Code: ALL - Status Code(s): 20 - Mdf: ALL
Profession Roster Report
Order By Name
Ambulatory Surgical Center
LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName
COMPLETE SURGERY HOUSTON
NORTHWEST
130406 71346133991900 NORTH LOOP WEST SUITE 600 10/31/2022 10/05/2018 10/05/2018 10/05/2018 Current
HOUSTON, TX 77018
COMPLETE SURGERY MESQUITE130470 71346133993400 IH 30 03/31/2022 03/20/2020 03/20/2020 03/20/2020 Current
MESQUITE, TX 75150
COOK CHILDRENS PEDIATRIC
SURGERY CENTER
130472 97230002154200 W UNIVERSITY DRIVE SUITE 110 04/30/2022 04/22/2020 04/22/2020 04/22/2020 Current
PROSPER, TX 75078
COOK CHILDRENS SURGERY CENTER
LLC
130385 81760525256316 PRECINCT LINE ROAD SUITE B 04/30/2022 04/27/2018 04/27/2018 04/27/2018 Current
HURST, TX 76054
COPPELL SURGERY CENTER OF
HORIZON MEDICAL CENTER
130527 4694515700731 PLAZA BOULEVARD 09/30/2022 10/01/2020 10/01/2020 03/04/2021 Current
COPPELL, TX 75019
CORM SURGICENTER130033 28133200731015 MEDICAL CENTER BLVD SUITE
2200
02/28/2022 02/17/2010 02/17/2010 02/19/2020 Current
WEBSTER, TX 77598
CORPUS CHRISTI ENDOSCOPY CENTER008573 36198593006421 SARATOGA BLVD BUILDING 105 10/31/2021 10/02/2007 10/02/2007 10/12/2007 Current
CORPUS CHRISTI, TX 78414
COVENANT HIGH PLAINS SURGERY
CENTER - 22ND STREET
130250 80677647723610 22ND STREET 07/31/2021 07/31/2015 07/31/2015 08/18/2015 Current
LUBBOCK, TX 79410
COVENANT HIGH PLAINS SURGERY
CENTER - QUAKER AVENUE
130251 80672588012301 QUAKER AVENUE 07/31/2021 07/31/2015 07/31/2015 08/18/2015 Current
LUBBOCK, TX 79410
CRENSHAW AMBULATORY SURGICAL
CENTER
130316 83223008365150 CRENSHAW ROAD SUITE H100 12/31/2022 12/09/2016 12/09/2016 12/09/2016 Current
PASADENA, TX 77505
CRYSTAL OUTPATIENT SURGERY
CENTER
130279 7134672453950 THREADNEEDLE STREET SUITE
250
02/28/2022 02/09/2016 02/09/2016 03/26/2018 Current
HOUSTON, TX 77079
CRYSTAL OUTPATIENT SURGERY
CENTER LAKE JACKSON INC
000269 9794800105215 OAK DRIVE SOUTH, SUITE J 06/30/2022 06/23/1993 06/23/1993 06/25/2008 Current
LAKE JACKSON, TX 77566
CY FAIR SURGERY CENTER007157 281955719411250 FALLBROOK DRIVE 03/31/2022 03/02/2000 03/02/2000 02/01/2008 Current
HOUSTON, TX 77065
CYPRESSWOOD SURGERY CENTER LP130211 34627519919920 CYPRESSWOOD DRIVE SUITE A 11/30/2022 11/25/2014 11/25/2014 02/05/2020 Current
HOUSTON, TX 77070
Page 9 of 396/9/2021
License Type Code: 6813 - Rank Code: ALL - Status Code(s): 20 - Mdf: ALL
Profession Roster Report
Order By Name
Ambulatory Surgical Center
LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName
DALLAS DAY SURGERY OF TEXAS
NORTH LTD
008679 21482186139101 NORTH CENTRAL EXPRESSWAY 08/31/2022 08/06/2008 08/06/2008 07/08/2020 Current
DALLAS, TX 75231
DALLAS ENDOSCOPY CENTER LTD008262 21452082355327 NORTH CENTRAL EXPRESSWAY
SUITE 200
08/31/2021 08/25/2005 08/25/2005 07/16/2007 Current
DALLAS, TX 75205
DALLAS IVF SURGERY CENTER LLC130022 21429700222840 LEGACY DRIVE SUITE 110 10/31/2021 10/27/2009 10/27/2009 01/04/2012 Current
FRISCO, TX 75034
DALLAS NEPHROLOGY ASSOCIATES
VASCULAR CENTER DALLAS
130377 21482642243604 LIVE OAK SUITE 300 03/31/2022 03/26/2018 03/26/2018 03/26/2018 Current
DALLAS, TX 75204
DALLAS NEPHROLOGY ASSOCIATES
VASCULAR CENTER PLANO
130356 21457966004401 TRADITION TRAIL 11/30/2021 11/17/2017 11/17/2017 11/17/2017 Current
PLANO, TX 75093
DALLAS PROCEDURE CENTER LLC130485 21430641161854 LAKEPOINTE DRIVE 06/30/2022 06/02/2020 06/02/2020 06/02/2020 Current
LEWISVILLE, TX 75057
DALLAS SURGI CENTER INC000188 21469688288230 WALNUT HILL LANE SUITE 808 11/30/2021 11/19/1987 11/19/1987 11/07/2007 Current
DALLAS, TX 75231
DAY TIME OUTPATIENT SURGERY
CENTER
007141 81773194006311 SOUTHWEST BLVD SUITE B 12/31/2021 12/21/1999 12/21/1999 12/03/2019 Current
FORT WORTH, TX 76132
DERMATOLOGY SURGERY CENTER130136 90353462001367 DOMINION PLAZA 12/31/2022 12/31/2012 12/31/2012 12/31/2012 Current
TYLER, TX 75703
DFW CHILDRENS SURGERY CENTER
LLC
130303 21461351105744 LBJ FREEWAY SUITE 200 09/30/2022 09/06/2016 09/06/2016 09/06/2016 Current
DALLAS, TX 75240
DIGESTIVE DISEASE CENTER130120 71370434506400 FANNIN, SUITE 1400 07/31/2022 07/26/2012 07/26/2012 07/30/2020 Current
HOUSTON, TX 77030
DIGESTIVE HEALTH CENTER AT
REDBIRD SQUARE
007032 21433129223107 WEST CAMP WISDOM ROAD
SUITE 189
06/30/2023 06/30/1999 06/30/1999 05/12/2020 Current
DALLAS, TX 75237
DIGESTIVE HEALTH CENTER OF ALLEN130501 6156651283981 STATE HWY 121 SUITE 2100 10/31/2022 10/16/2020 10/16/2020 10/16/2020 Current
ALLEN, TX 75013
DIGESTIVE HEALTH CENTER OF
BEDFORD
007784 81731802351600 CENTRAL DRIVE SUITE 300 08/31/2021 08/21/2001 08/21/2001 05/12/2020 Current
BEDFORD, TX 76022
DIGESTIVE HEALTH CENTER OF
DALLAS
130460 21473995449500 NORTH CENTRAL EXPRESSWAY
SUITE 200
01/31/2022 01/14/2020 01/14/2020 01/14/2020 Current
Page 10 of 396/9/2021
License Type Code: 6813 - Rank Code: ALL - Status Code(s): 20 - Mdf: ALL
Profession Roster Report
Order By Name
Ambulatory Surgical Center
LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName
DALLAS, TX 75231
DIGESTIVE HEALTH CENTER OF
NORTH RICHLAND HILLS
008398 46971350527640 NORTHEAST LOOP 820 SUITE 96 09/30/2022 09/20/2006 09/20/2006 03/16/2020 Current
NORTH RICHLAND HILLS, TX 76180
DIGESTIVE HEALTH CENTER OF
PLANO
130167 61524037413500 PRESTON ROAD SUITE 200 11/30/2021 11/22/2013 11/22/2013 06/16/2020 Current
PLANO, TX 75093
DOCTORS HOSPITAL AT RENAISSANCE
LTD OUTPATIENT SURGICAL CENTER
130254 95636272945520 LEONARDO DA VINCI 08/31/2021 08/31/2015 08/31/2015 09/11/2019 Current
EDINBURG, TX 78539
DOCTORS SURGERY CENTER INC000295 93656982785300 NORTH STREET 09/30/2022 09/09/1994 09/09/1994 08/06/2008 Current
NACOGDOCHES, TX 75965
DOCTORS UNITED SURGERY CENTER130415 71394703305146 PRESTON AVENUE 12/31/2022 12/21/2018 12/21/2018 10/22/2019 Current
PASADENA, TX 77505
DODSON SURGERY CENTER130108 68288543401500 COOPER ST 03/31/2022 03/14/2012 03/14/2012 03/14/2012 Current
FORT WORTH, TX 76104
DOMAIN SURGICAL LLC130429 80635054372300 WOLFLIN AVENUE 04/30/2023 04/08/2019 04/08/2019 04/08/2019 Current
AMARILLO, TX 79109
DOVE POINTE SURGERY CENTER000390 95668657885520 NORTH C STREET 09/30/2021 09/17/1998 09/17/1998 01/03/2013 Current
MCALLEN, TX 78504
EAST EL PASO SURGERY CENTER007329 91559533537835 CORRAL DRIVE 06/30/2022 06/13/2001 06/13/2001 05/19/2008 Current
EL PASO, TX 79915
EAST TEXAS EYE ASSOCIATES
SURGERY CENTER
000210 93663483811306 WEST FRANK AVENUE 10/31/2021 10/04/1988 10/04/1988 10/04/2019 Current
LUFKIN, TX 75904
EAST TEXAS SURGERY CENTER130522 90355833331402 MEDICAL DRIVE 12/31/2022 12/17/2020 12/17/2020 02/05/2021 Current
SULPHUR SPRINGS, TX 75482
EASTSIDE SURGERY CENTER007237 713451429910918 EAST FREEWAY 10/31/2022 10/25/2000 10/25/2000 08/06/2008 Current
HOUSTON, TX 77029
EL PASO CENTER FOR
GASTROINTESTINAL ENDOSCOPY LLC
008549 91554553001620 NORTH MESA 08/31/2021 08/23/2007 08/23/2007 08/23/2007 Current
EL PASO, TX 79902
EL PASO DAY SURGERY008139 91559493331300 MURCHISON SUITE 200 11/30/2022 11/15/2004 11/15/2004 10/20/2008 Current
EL PASO, TX 79902
ELITE MINIMALLY INVASIVE SURGERY
OF OAKBEND HEALTH SYSTEM
130246 71359559006655 TRAVIS STREET SUITE 200 04/30/2023 05/01/2015 05/01/2015 07/15/2015 Current
Page 11 of 396/9/2021
License Type Code: 6813 - Rank Code: ALL - Status Code(s): 20 - Mdf: ALL
Profession Roster Report
Order By Name
Ambulatory Surgical Center
LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName
HOUSTON, TX 77030
ELM PLACE AMBULATORY SURGICAL
CENTER
000166 32569506002217 SOUTH DANVILLE DRIVE 11/30/2021 11/05/1986 11/05/1986 12/06/2019 Current
ABILENE, TX 79605
ENCOR ASC LLC130516 97294558002200 PHYSICIANS BLVD SUITE A 12/31/2022 12/18/2020 12/18/2020 12/21/2020 Current
ENNIS, TX 75119
ENDEAVOR CLINICAL TRIALS LLC130482 21063412538214 WURZBACH RD 05/31/2022 05/21/2020 05/21/2020 05/21/2020 Current
SAN ANTONIO, TX 78229
ENDOSCOPY CENTER AT MED POINT007963 95668726731200 EAST SAVANNAH AVENUE SUITE
15
06/30/2022 06/30/2003 06/30/2003 05/14/2008 Current
MCALLEN, TX 78503
ENDOSCOPY CENTER OF EL PASO000404 91554450001300 MURCHISON DRIVE SUITE 180 12/31/2021 12/10/1998 12/10/1998 11/15/2007 Current
EL PASO, TX 79902
ENDOSCOPY CENTER OF SOUTHEAST
TEXAS
008331 4098335555950 NORTH 14TH STREET SUITE 200 02/28/2022 02/28/2006 02/28/2006 01/10/2012 Current
BEAUMONT, TX 77702
EXECUTIVE SURGERY CENTER130170 832698372013603 MICHEL ROAD 12/31/2021 12/12/2013 12/12/2013 11/05/2019 Current
TOMBALL, TX 77375
EYE 35 ASC LLC130359 210888520017005 IH 35 N SUITE 2 01/31/2022 01/03/2018 01/03/2018 02/20/2018 Current
SCHERTZ, TX 78154
EYE SURGERY CENTER OF EAST
TEXAS PLLC
130351 90359505002448 EAST 5TH STREET 10/31/2021 10/18/2017 10/18/2017 10/18/2017 Current
TYLER, TX 75701
EYE SURGERY CENTER OF NORTH
DALLAS
130201 97238020203100 E TRINITY MILLS ROAD 08/31/2022 08/22/2014 08/22/2014 03/04/2015 Current
CARROLLTON, TX 75006
FACIAL PLASTIC & COSMETIC
SURGICAL CENTER
000111 32569536306300 REGIONAL PLAZA SUITE 475 12/31/2021 01/01/1986 01/01/1986 11/14/2007 Current
ABILENE, TX 79606
FALCONHEAD SURGERY CENTER LLC130518 512913297214425 FALCONHEAD BLVD BLDG F
SUITE 111
12/31/2022 12/29/2020 12/29/2020 12/29/2020 Current
AUSTIN, TX 78738
FANNIN SURGICARE008259 71379638007700 FANNIN STREET 08/31/2021 08/22/2005 08/22/2005 10/14/2019 Current
HOUSTON, TX 77054
FIRST CHOICE AMBULATORY
SURGICAL CENTER LLC
130523 21091282047902 EWING HALSELL 02/28/2023 02/10/2021 02/10/2021 03/04/2021 Current
SAN ANTONIO, TX 78229
Page 12 of 396/9/2021
License Type Code: 6813 - Rank Code: ALL - Status Code(s): 20 - Mdf: ALL
Profession Roster Report
Order By Name
Ambulatory Surgical Center
LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName
FIRST COLONY SURGERY CENTER LLC130320 9724972290600 FERRIS AVENUE SUITE B 12/31/2022 12/27/2016 12/27/2016 12/27/2016 Current
WAXAHACHIE, TX 75165
FIRST STREET SURGICAL CENTER130487 7136651111411 FIRST STREET 12/31/2021 12/16/2019 12/16/2019 06/12/2020 Current
BELLAIRE, TX 77401
FISH POND SURGERY CENTER008750 2547519836601 WEST HWY 6 SUITE 109 01/31/2023 01/20/2009 01/20/2009 12/10/2010 Current
WACO, TX 76710
FOREST LANDING SURGICAL CENTER
LLC
130502 93624721409303 NEW TRAILS DRIVE SUITE 185 10/31/2022 10/12/2020 10/12/2020 10/20/2020 Current
THE WOODLANDS, TX 77381
FORT BEND SURGERY CENTER OF
OAKBEND HEALTH SYSTEM
130307 281313730014851 SOUTHWEST FREEWAY 10/31/2022 10/15/2016 10/15/2016 11/07/2016 Current
SUGAR LAND, TX 77478
FORT WORTH ENDOSCOPY CENTER008397 8173326500900 WEST MAGNOLIA AVENUE SUITE
101
09/30/2022 09/19/2006 09/19/2006 07/14/2016 Current
FORT WORTH, TX 76104
FRISCO ASC LLC130463 97271248005616 WARREN PARKWAY SUITE 100 10/31/2021 10/11/2019 10/11/2019 02/05/2020 Current
FRISCO, TX 75034
FRISCO FIRST SURGERY CENTER130422 97294362208740 OHIO DRIVE SUITE B-1 01/31/2023 01/29/2019 01/29/2019 01/29/2019 Current
PLANO, TX 75024
GAB ENDOSCOPY CENTER LTD007994 2102533430621 CAMDEN STREET #102 10/31/2021 10/20/2003 10/20/2003 09/05/2007 Current
SAN ANTONIO, TX 78215
GASTROENTEROLOGY CONSULTANTS
OF SAN ANTONIO - NE
130192 210614123412850 TOEPPERWEIN ROAD 06/30/2022 06/18/2014 06/18/2014 06/18/2014 Current
LIVE OAK, TX 78233
GASTROENTEROLOGY CONSULTANTS
OF SAN ANTONIO - STONE OAK
130139 2106141234855 PROTON ROAD 12/31/2022 12/20/2012 02/01/2013 12/20/2012 Current
SAN ANTONIO, TX 78258
GASTROENTEROLOGY CONSULTANTS
OF SAN ANTONIO- MEDICAL CENTER
130325 21061412345223 HAMILTON WOLFE 03/31/2023 03/16/2017 03/16/2017 03/16/2017 Current
SAN ANTONIO, TX 78229
GASTROINTESTINAL ENDOSCOPY
CENTER
008151 97261297711600 COIT ROAD SUITE 401A 12/31/2021 12/01/2004 12/01/2004 11/23/2011 Current
PLANO, TX 75075
GATEWAY SURGICAL CENTER130473 91526348503215 GATEWAY BLVD WEST STE. 210 04/30/2022 04/23/2020 04/23/2020 04/23/2020 Current
EL PASO, TX 79903
GRACE AMBULATORY SURGERY
CENTER LLC
130521 2144509926470 E STATE HIGHWAY 114 01/31/2023 01/19/2021 01/19/2021 01/19/2021 Current
Page 13 of 396/9/2021
License Type Code: 6813 - Rank Code: ALL - Status Code(s): 20 - Mdf: ALL
Profession Roster Report
Order By Name
Ambulatory Surgical Center
LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName
SOUTHLAKE, TX 76092
GRACE SURGICAL HOSPITAL130005 80672540004515 MARSHA SHARP FREEWAY 04/30/2023 04/06/2009 04/06/2009 09/07/2011 Current
LUBBOCK, TX 79407
GRAMERCY OUTPATIENT SURGERY
CENTER
000239 71366069002727 GRAMERCY STREET 11/30/2022 04/28/1986 04/28/1986 02/22/2011 Current
HOUSTON, TX 77025
GULF COAST SURGERY CENTER130474 40998470903919 TWIN CITY HWY 04/30/2022 04/30/2020 04/30/2020 04/30/2020 Current
PORT ARTHUR, TX 77642
GULFSTREAM SURGICAL FORT WORTH
LLC
130497 2146956273975 HASKELL STREET 08/31/2022 08/26/2020 08/26/2020 09/24/2020 Current
FORT WORTH, TX 76107
HARLINGEN SURGICAL CENTER LLC130054 95642327731515 ED CAREY DRIVE 08/31/2022 09/29/2010 09/29/2010 09/24/2013 Current
HARLINGEN, TX 78550
HAYS SURGERY CENTER130135 5125040202135 BUNTON CREEK ROAD SUITE #
200
12/31/2022 12/03/2012 12/03/2012 12/01/2020 Current
KYLE, TX 78640
HEA GRAMERCY SURGERY CENTER
PLLC DBA HEA SURGERY CENTER
130011 83255371712855 GRAMERCY STREET SUITE 100 05/31/2023 05/11/2009 05/11/2009 05/11/2009 Current
HOUSTON, TX 77025
HEART & VASCULAR SURGERY
CENTER OF FORT WORTH
130440 81733218186949 BRYANT IRVIN ROAD SUITE 110 07/31/2021 07/03/2019 07/03/2019 08/26/2019 Current
FORT WORTH, TX 76132
HEART OF TEXAS SURGERY CENTER
PLLC
130314 25423511227003 WOODWAY DRIVE SUITE 307 12/31/2022 12/07/2016 12/07/2016 12/07/2016 Current
WOODWAY, TX 76712
HEATON LASER AND SURGERY
CENTER LLC
000377 90352604443415 GOLDEN ROAD 05/31/2022 05/21/1998 05/21/1998 04/08/2008 Current
TYLER, TX 75701
HEIGHTS SURGERY CENTER000355 7138382300427 WEST 20TH STREET SUITE 102 06/30/2022 06/04/1997 06/04/1997 06/30/2020 Current
HOUSTON, TX 77008
HENDRICK SURGERY CENTER SOUTH130505 32579454506399 DIRECTORS PKWY STE 100 10/31/2022 10/27/2020 10/27/2020 01/15/2021 Current
ABILENE, TX 79606
HERITAGE SURGERY CENTER000253 97254807711501 B REDBUD BOULEVARD 09/30/2022 09/28/1992 09/28/1992 09/08/2008 Current
MCKINNEY, TX 75069
HIGHLAND PARK PLASTIC SURGERY
CENTER
000351 21436344446110 SHERRY LANE 08/31/2022 08/09/1996 08/09/1996 08/21/2008 Current
DALLAS, TX 75225
Page 14 of 396/9/2021
License Type Code: 6813 - Rank Code: ALL - Status Code(s): 20 - Mdf: ALL
Profession Roster Report
Order By Name
Ambulatory Surgical Center
LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName
HILL COUNTRY ENDOSCOPY CENTER008256 5125282000801 EAST WHITESTONE SUITE 100 11/30/2021 11/21/2005 11/21/2005 12/09/2016 Current
CEDAR PARK, TX 78613
HILL COUNTRY MEMORIAL SURGERY
CENTER LLC
007933 8307981821204 GATEWAY NORTH SUITE B 03/31/2022 03/19/2003 03/19/2003 10/16/2020 Current
MARBLE FALLS, TX 78654
HMU SURGICAL CENTER130328 71363444334219 RICHMOND AVENUE SUITE 100 03/31/2023 04/01/2017 04/01/2017 04/26/2017 Current
HOUSTON, TX 77027
HORIZON SURGERY CENTER PLLC130513 28174277502813 SMITH RANCH ROAD SUITE 180 09/30/2022 09/28/2020 09/28/2020 12/11/2020 Current
PEARLAND, TX 77584
HOURGLASS OR SERVICES LLC130506 713636272912721 SAWMILL RD 10/31/2022 10/29/2020 10/29/2020 10/29/2020 Current
THE WOODLANDS, TX 77380
HOUSTON CHILDRENS DENTAL
CENTER
130077 71348195007007 NORTH FREEWAY SUITE 400 02/28/2023 02/08/2011 02/08/2011 02/09/2011 Current
HOUSTON, TX 77076
HOUSTON METHODIST BAYTOWN
AMBULATORY SURGERY CENTER
130142 28183782171677 WEST BAKER STREET 03/31/2023 03/04/2013 03/04/2013 05/06/2019 Current
BAYTOWN, TX 77521
HOUSTON METHODIST SURGERY
CENTER - NASSAU BAY
130177 28133555112020 NASA PARKWAY SUITE 100 02/28/2022 02/01/2014 02/13/2014 02/28/2020 Current
NASSAU BAY, TX 77058
HOUSTON METHODIST
WILLOWBROOK HOSPITAL
OUTPATIENT SURGERY DEPT
008623 281477100113802 CENTERFIELD DRIVE SUITE 100 01/31/2022 01/29/2008 01/29/2008 02/04/2020 Current
HOUSTON, TX 77070
HOUSTON ORTHOPEDIC & SPINE
SURGERY CENTER
130255 2816469832750 WESTGREEN BLVD SUITE 103 09/30/2021 09/03/2015 09/03/2015 01/08/2020 Current
KATY, TX 77450
HOUSTON PREMIER SURGERY CENTER
IN THE VILLAGES
130459 28193065008731 KATY FREEWAY SUITE 350 01/31/2022 01/09/2020 01/09/2020 01/09/2020 Current
HOUSTON, TX 77024
HOUSTON SURGERY CENTER130226 71339515909180 KATY FREEWAY, STE 250 02/28/2023 02/15/2015 02/15/2015 02/15/2015 Current
HOUSTON, TX 77055
HOWERTON SURGICAL CENTER LLC130007 51244407012610 SOUTH IH 35 04/30/2023 04/22/2009 04/22/2009 04/22/2009 Current
AUSTIN, TX 78704
HUEBNER AMBULATORY SURGERY
CENTER
130329 21094309909618 HUEBNER ROAD SUITE 111 04/30/2023 04/27/2017 04/27/2017 04/27/2017 Current
SAN ANTONIO, TX 78240
Page 15 of 396/9/2021
License Type Code: 6813 - Rank Code: ALL - Status Code(s): 20 - Mdf: ALL
Profession Roster Report
Order By Name
Ambulatory Surgical Center
LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName
HUMBLE KINGWOOD ENDOSCOPY
CENTER
130096 281312690019502 MCKAY DRIVE SUITE 101 11/30/2021 11/15/2011 11/15/2011 11/15/2011 Current
HUMBLE, TX 77338
HUMBLE VASCULAR SURGICAL
CENTER INC.
130371 71382008068411 FM 1960 BYPASS ROAD WEST
SUITE A
02/28/2022 02/23/2018 02/23/2018 02/23/2018 Current
HUMBLE, TX 77338
HYDE PARK SURGERY CENTER008677 51242023034611 GUADALUPE SUITE 100 08/31/2022 08/06/2008 08/06/2008 08/06/2008 Current
AUSTIN, TX 78751
IMPERIAL SURGERY CENTER130511 713559910013114 FM 1960 SUITE 118 09/30/2022 10/01/2020 10/01/2020 12/04/2020 Current
HOUSTON, TX 77065
INNOVATIONS SURGERY CENTER LP130500 9037292888300 WILLOW CREEK PARKWAY SUITE
100
10/31/2022 10/05/2020 10/05/2020 10/16/2020 Current
PALESTINE, TX 75801
INOV8 SURGICAL130439 833818809310496 KATY FREEWAY SUITE 105 06/30/2021 06/18/2019 06/18/2019 06/18/2019 Current
HOUSTON, TX 77043
INTEGRITY WELLNESS CENTER130253 9724354070920 SOUTH BELTLINE SUITE 250 08/31/2021 08/28/2015 08/28/2015 08/28/2015 Current
COPPELL, TX 75019
J GRAFF SURGERY CENTER INC130215 97240377332633 DALLAS PARKWAY 01/31/2023 01/07/2015 01/07/2015 01/08/2015 Current
PLANO, TX 75093
JPS SURGICAL CENTER- ARLINGTON130089 81770216224400 NEW YORK AVENUE 08/31/2021 08/29/2011 08/29/2011 08/29/2011 Current
ARLINGTON, TX 76018
KATY AREA SURGICAL CENTER130297 713526160021502 MERCHANTS WAY 08/31/2022 08/09/2016 08/09/2016 01/11/2018 Current
KATY, TX 77449
KELSEY-SEYBOLD CLINIC
AMBULATORY SURGICAL CENTER
130442 71344200002727 W HOLCOMBE BLVD. 3RD FLOOR 07/31/2021 08/01/2019 08/01/2019 08/09/2019 Current
HOUSTON, TX 77025
KELSEY-SEYBOLD CLINIC
AMBULATORY SURGICAL CENTER
SPRING
130441 713442000015655 CYPRESS WOODS MEDICAL DR.
SUITE 100
07/31/2021 08/01/2019 08/01/2019 08/09/2019 Current
HOUSTON, TX 77014
KERRVILLE AMBULATORY SURGERY
CENTER LLC
008616 83089624441001 WATER STREET UNIT C 01/31/2022 01/11/2008 01/11/2008 01/11/2008 Current
KERRVILLE, TX 78028
KEYSTONE SURGICENTER LLC130301 93632143453115 COLLEGE PARK DRIVE SUITE
101B
08/31/2022 09/01/2016 09/01/2016 09/03/2020 Current
THE WOODLANDS, TX 77384
KINGWOOD ENDOSCOPY130468 8323444008310 KINGWOOD EXECUTIVE DRIVE
SUITE A
03/31/2022 03/16/2020 03/16/2020 03/16/2020 Current
Page 16 of 396/9/2021
License Type Code: 6813 - Rank Code: ALL - Status Code(s): 20 - Mdf: ALL
Profession Roster Report
Order By Name
Ambulatory Surgical Center
LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName
KINGWOOD, TX 77339
LAKE GRANBURY MEDICAL CENTER008038 81740830431308 PALUXY ROAD 03/31/2023 03/08/2004 03/08/2004 02/17/2009 Current
GRANBURY, TX 76048
LAKE JACKSON ENDOSCOPY CENTER,
LP
130259 9795292270219 OAK DRIVE SOUTH 09/30/2021 09/21/2015 09/21/2015 10/13/2015 Current
LAKE JACKSON, TX 77566
LAKE POINTE SURGERY CENTER130149 713737560516614 CREEK BEND DRIVE 05/31/2023 05/30/2013 05/30/2013 05/30/2013 Current
SUGAR LAND, TX 77478
LAKESHORE SURGICAL CENTER LLC130480 28141495966701 LAKE WOODLANDS DR SUITE
175
03/31/2022 04/01/2020 04/01/2020 05/13/2020 Current
SPRING, TX 77382
LAREDO DIGESTIVE HEALTH CENTER
LLC
130008 95672800306999 MCPHERSON AVENUE SUITE 219 04/30/2023 04/24/2009 04/24/2009 04/24/2009 Current
LAREDO, TX 78041
LAREDO LASER & SURGERY LTD008685 95656854415313 MCPHERSON ROAD 08/31/2022 08/20/2008 08/20/2008 08/20/2008 Current
LAREDO, TX 78041
LAREDO SURGERY CENTER LLC130509 281777087810410 MEDICAL LOOP UNIT 4A 11/30/2022 11/16/2020 11/16/2020 11/16/2020 Current
LAREDO, TX 78045
LEGENT CHILDRENS OUTPATIENT
SURGERY DALLAS
130392 97280876747150 GREENVILLE AVENUE SUITE 400 06/30/2022 06/21/2018 06/21/2018 01/09/2019 Current
DALLAS, TX 75231
LEGENT OUTPATIENT SURGERY
AUSTIN
130186 51286107003107 OAK CREEK DRIVE STE 100 12/31/2021 12/20/2013 03/27/2014 01/09/2019 Current
AUSTIN, TX 78727
LEGENT OUTPATIENT SURGERY
EULESS
130156 8175533627461 WESTPARK WAY 08/31/2021 08/26/2013 08/26/2013 07/16/2020 Current
EULESS, TX 76040
LEGENT OUTPATIENT SURGERY
FRISCO
130343 46921383108350 DALLAS PARKWAY SUITE 100 08/31/2021 08/02/2017 08/02/2017 01/09/2019 Current
FRISCO, TX 75034
LEGENT WESTOVER HILLS130365 21026715891927 ROGERS ROAD 02/28/2022 02/05/2018 02/12/2018 07/16/2020 Current
SAN ANTONIO, TX 78251
LEWISVILLE SURGERY CENTER000387 9724200023591 WEST MAIN STREET 07/31/2022 07/08/1998 07/08/1998 08/11/2020 Current
LEWISVILLE, TX 75057
LIVE OAK SURGERY CENTER130372 46948810007211 PRESTON ROAD SUITE 2100 03/31/2022 03/01/2018 03/01/2018 05/10/2018 Current
PLANO, TX 75024
LMC NORTH008003 95679625957210 MCPHERSON ROAD 11/30/2022 11/06/2003 11/06/2003 10/06/2008 Current
Page 17 of 396/9/2021
License Type Code: 6813 - Rank Code: ALL - Status Code(s): 20 - Mdf: ALL
Profession Roster Report
Order By Name
Ambulatory Surgical Center
LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName
LAREDO, TX 78041
LONE STAR ENDOSCOPY FLOWER
MOUND
130200 81733736711001 SURREY LANE 08/31/2022 08/22/2014 08/22/2014 07/17/2020 Current
FLOWER MOUND, TX 75022
LONE STAR ENDOSCOPY SOUTHLAKE130353 8179121999515 SOUTH NOLEN DRIVE 10/31/2021 10/19/2017 10/19/2017 10/19/2017 Current
SOUTHLAKE, TX 76092
LONESTAR AMBULATORY SURGICAL
CENTER
130049 81741020302201 WESTGATE PLAZA 07/31/2022 07/14/2010 07/14/2010 07/14/2010 Current
GRAPEVINE, TX 76051
LONESTAR ENDOSCOPY CENTER LLC130072 8173373671180 BEAR CREEK PARKWAY 12/31/2022 12/23/2010 12/23/2010 12/30/2010 Current
KELLER, TX 76248-2500
LUBBOCK SURGERY CENTER130347 80641265833416 22ND STREET 09/30/2021 09/29/2017 09/29/2017 09/29/2017 Current
LUBBOCK, TX 79410
LUBBOCK VASCULAR ACCESS CENTER130322 80679222221126 SLIDE ROAD SUITE #1 01/31/2023 01/12/2017 01/12/2017 01/12/2017 Current
LUBBOCK, TX 79416
LUFKIN ENDOSCOPY CENTER000212 9366343713317 GASLIGHT BOULEVARD 01/31/2023 01/16/1989 01/16/1989 01/31/2011 Current
LUFKIN, TX 75904
MANN CATARACT SURGERY CENTER008536 71327524375115 MAIN STREET SUITE 100 07/31/2023 07/23/2007 07/23/2007 06/07/2021 Current
HOUSTON, TX 77002
MANN CATARACT SURGERY CENTER007149 281446790018850 SOUTH MEMORIAL BLVD SUITE
300
04/30/2022 04/27/1999 04/27/1999 03/09/2020 Current
HUMBLE, TX 77338
MANSFIELD ENDOSCOPY CENTER LLC130529 2146977314647 N MILLER ROAD 03/31/2023 03/30/2021 03/30/2021 03/30/2021 Current
MANSFIELD, TX 76063
MAPLESHADE SURGERY CENTER130475 9725991447960 OHIO DRIVE SUITE 100 04/30/2022 04/30/2020 04/30/2020 04/30/2020 Current
PLANO, TX 75093
MAPLEWOOD AMBULATORY SURGERY
CENTER INC
000388 94069685004301 MAPLEWOOD AVENUE SUITE C 01/31/2023 01/20/1998 01/20/1998 01/27/2011 Current
WICHITA FALLS, TX 76308
MCALLEN SURGICAL SPECIALTY
CENTER LTD
007782 95663172021309 EAST RIDGE ROAD SUITE 3 08/31/2021 08/16/2001 08/16/2001 08/20/2007 Current
MCALLEN, TX 78503
MCKINNEY OUTPATIENT SURGICAL
CENTER
130427 46968790151505 HARROUN AVENUE SUITE 1 03/31/2023 03/20/2019 03/20/2019 03/20/2019 Current
MCKINNEY, TX 75069
MD AESTHETIC SURGERY CENTER007855 71352891001200 BINZ SUITE 1000 06/30/2022 06/11/2002 06/11/2002 05/19/2008 Current
Page 18 of 396/9/2021
License Type Code: 6813 - Rank Code: ALL - Status Code(s): 20 - Mdf: ALL
Profession Roster Report
Order By Name
Ambulatory Surgical Center
LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName
HOUSTON, TX 77004
MEDFINITY HEALTH SURGERY
CENTER - HEB
130308 68230511121305 AIRPORT FREEWAY SUITE 123 11/30/2022 11/08/2016 11/08/2016 11/08/2016 Current
BEDFORD, TX 76021
MEDFINITY HEALTH SURGERY
CENTER - PLANO
130319 46960982805085 WEST PARK BLVD SUITE 180B 12/31/2022 12/22/2016 12/22/2016 12/22/2016 Current
PLANO, TX 75093
MEDICAL ARTS SURGERY CENTER008491 93656436003302 NORTH EAST STALLINGS DRIVE 04/30/2023 04/02/2007 04/02/2007 04/02/2007 Current
NACOGDOCHES, TX 75965
MEDICAL CENTER ENDOSCOPY LLC000399 71379605006560 FANNIN SUITE 600 10/31/2022 10/28/1998 10/28/1998 12/17/2019 Current
HOUSTON, TX 77030
MEDICAL CITY AMBULATORY
SURGERY CENTER DALLAS
008279 97256661717777 FOREST LANE SUITE C150 09/30/2021 09/27/2005 09/27/2005 12/12/2018 Current
DALLAS, TX 75230
MEDICAL CITY SURGERY CENTER
DENTON
008176 94034955003316 COLORADO BLVD 03/31/2023 03/02/2005 03/02/2005 12/12/2018 Current
DENTON, TX 76210
MEDICAL CITY SURGERY CENTER
FORT WORTH
000270 8173366060909 NINTH AVENUE 07/31/2021 07/16/1993 07/16/1993 12/12/2018 Current
FORT WORTH, TX 76104
MEDICAL CITY SURGERY CENTER LAS
COLINAS
000299 97225701444255 NORTH MACARTHUR
BOULEVARD
11/30/2022 11/30/1994 11/30/1994 10/02/2008 Current
IRVING, TX 75038
MEDICAL CITY SURGERY CENTER
MCKINNEY
008024 97254715804510 MEDICAL CENTER DRIVE SUITE
150
02/28/2023 02/10/2004 02/10/2004 12/12/2018 Current
MCKINNEY, TX 75069
MEDICAL CITY SURGERY CENTER
PARK CENTRAL
000217 972661050512200 PARK CENTRAL DRIVE SUITE
300
03/31/2022 04/01/1989 04/01/1989 12/12/2018 Current
DALLAS, TX 75251
MEDICAL CITY WEATHERFORD130354 8175988100905 EAST EUREKA STREET 09/30/2021 10/01/2017 10/01/2017 10/01/2017 Current
WEATHERFORD, TX 76086
MEDICAL COMPLEX SURGERY
CENTER
130349 281290828213500 MEDICAL COMPLEX DRIVE 06/30/2021 07/01/2017 10/06/2017 10/15/2019 Current
TOMBALL, TX 77375
MEDICAL PARK TOWER SURGERY
CENTER
130050 51235430001301 WEST 38TH ST SUITE 109 07/31/2022 07/27/2010 07/27/2010 07/27/2010 Current
AUSTIN, TX 78705
MEMORIAL AMBULATORY SURGERY
CENTER
130447 71392933238731 KATY FREEWAY SUITE 400 10/31/2021 10/09/2019 10/09/2019 10/09/2019 Current
Page 19 of 396/9/2021
License Type Code: 6813 - Rank Code: ALL - Status Code(s): 20 - Mdf: ALL
Profession Roster Report
Order By Name
Ambulatory Surgical Center
LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName
HOUSTON, TX 77024
MEMORIAL ENDOSCOPY CENTER130115 71346892001233 CAMPBELL ROAD 07/31/2022 07/01/2012 07/02/2012 07/01/2012 Current
HOUSTON, TX 77055
MEMORIAL HERMANN ENDOSCOPY
CENTER NORTH LOOP
130220 71345727501900 NORTH LOOP WEST SUITE 550 01/31/2023 01/22/2015 01/22/2015 02/23/2015 Current
HOUSTON, TX 77018
MEMORIAL HERMANN MEMORIAL
VILLAGE SURGERY CENTER
130143 71333711111120 BUSINESS CENTER DRIVE SUITE
110
03/31/2023 03/07/2013 03/07/2013 03/17/2017 Current
HOUSTON, TX 77043
MEMORIAL HERMANN SURGERY
CENTER BRAZORIA, LLC
130403 97984859002760 BRAZOS PARKWAY 09/30/2022 09/07/2018 09/19/2018 09/07/2018 Current
ANGLETON, TX 77515
MEMORIAL HERMANN SURGERY
CENTER CONROE
007984 93676034431501 RIVER POINTE DRIVE SUITE 200 09/30/2021 09/15/2003 09/15/2003 08/22/2019 Current
CONROE, TX 77304
MEMORIAL HERMANN SURGERY
CENTER GREATER HEIGHTS
008110 71334310801631 NORTH LOOP WEST SUITE 300 09/30/2021 09/07/2004 09/07/2004 11/23/2015 Current
HOUSTON, TX 77008
MEMORIAL HERMANN SURGERY
CENTER KATY LLP
008424 281644320023920 KATY FREEWAY SUITE 200 11/30/2022 11/14/2006 11/14/2006 11/18/2008 Current
KATY, TX 77494
MEMORIAL HERMANN SURGERY
CENTER KINGSLAND
130003 281492123421720 KINGSLAND BLVD SUITE 101 03/31/2023 03/11/2009 03/11/2009 03/11/2009 Current
KATY, TX 77450
MEMORIAL HERMANN SURGERY
CENTER KIRBY GLEN
130249 71352986002459 S BRAESWOOD BLVD 06/30/2021 07/01/2015 07/01/2015 08/06/2015 Current
HOUSTON, TX 77030
MEMORIAL HERMANN SURGERY
CENTER MAIN STREET
130450 71379999907515 MAIN STREET SUITE 800 06/30/2023 07/01/2019 07/01/2019 11/07/2019 Current
HOUSTON, TX 77030
MEMORIAL HERMANN SURGERY
CENTER PINECROFT
130315 83282351569305 PINECROFT DRIVE SUITE 200 12/31/2022 12/08/2016 12/08/2016 12/08/2016 Current
THE WOODLANDS, TX 77380
MEMORIAL HERMANN SURGERY
CENTER RICHMOND
130454 281344544421155 SOUTHWEST FREEWAY 10/31/2021 10/24/2019 10/24/2019 10/24/2019 Current
RICHMOND, TX 77469
MEMORIAL HERMANN SURGERY
CENTER SOUTHWEST LLP
008394 71334331007789 SOUTHWEST FREEWAY SUITE
200
09/30/2022 09/12/2006 09/12/2006 09/29/2014 Current
HOUSTON, TX 77074
Page 20 of 396/9/2021
License Type Code: 6813 - Rank Code: ALL - Status Code(s): 20 - Mdf: ALL
Profession Roster Report
Order By Name
Ambulatory Surgical Center
LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName
MEMORIAL HERMANN SURGERY
CENTER SUGAR LAND
008395 281238160017510 WEST GRAND PARKWAY SUITE
200
09/30/2022 09/13/2006 09/13/2006 08/21/2008 Current
SUGAR LAND, TX 77479
MEMORIAL HERMANN SURGERY
CENTER TEXAS MEDICAL CENTER LLP
008439 71379077106400 FANNIN STREET SUITE 1500 01/31/2023 01/04/2007 01/04/2007 03/10/2021 Current
HOUSTON, TX 77030
MEMORIAL HERMANN SURGERY
CENTER THE WOODLANDS LLP
008254 28129795009200 PINECROFT SUITE 200 08/31/2021 08/08/2005 08/08/2005 09/03/2015 Current
THE WOODLANDS, TX 77380
MEMORIAL HERMANN SURGERY
CENTER WOODLANDS PARKWAY LLC
130085 28136300581441 WOODSTEAD COURT SUITE 100 12/31/2022 12/30/2010 12/30/2010 11/02/2011 Current
THE WOODLANDS, TX 77380-1410
MEMORIAL HOUSTON SURGERY
CENTER
130313 34535218239230 KATY FREEWAY SUITE 601 12/31/2022 12/07/2016 12/07/2016 12/07/2016 Current
HOUSTON, TX 77055
MEMORIAL SURGICAL SOLUTIONS130057 713722740010504 KATY FREEWAY 10/31/2022 10/20/2010 10/20/2010 10/20/2010 Current
HOUSTON, TX 77043
MERCY AMBULATORY SURGERY
CENTER OF DALLAS PLLC
130355 972982769812606 GREENVILLE AVENUE SUITE
190
06/30/2023 06/30/2017 06/30/2017 11/09/2017 Current
DALLAS, TX 75243
MERIDIAN SURGERY CENTER130153 51261775054220 BULL CREEK 07/31/2021 07/11/2013 07/15/2013 08/02/2018 Current
AUSTIN, TX 78731
METHODIST ALLEN SURGERY CENTER130335 97256945001125 RAINTREE CIRCLE SUITE 200 06/30/2021 06/09/2017 06/09/2017 06/09/2017 Current
ALLEN, TX 75013
METHODIST AMBULATORY SURGERY
CENTER - NORTH CENTRAL
007843 210575520019010 STONE OAK PARKWAY 04/30/2022 04/18/2002 04/18/2002 03/27/2008 Current
SAN ANTONIO, TX 78258
METHODIST AMBULATORY SURGERY
CENTER MEDICAL CENTER
008133 21057545844411 MEDICAL DRIVE SUITE 200 11/30/2022 11/01/2004 11/01/2004 10/10/2008 Current
SAN ANTONIO, TX 78229
METHODIST CRAIG RANCH SURGERY
CENTER
130352 46990716506045 ALMA ROAD SUITE 100 10/31/2021 10/19/2017 10/19/2017 10/19/2017 Current
MCKINNEY, TX 75070
METHODIST MANSFIELD
AMBULATORY SURGERY CENTER LLC
130491 6822426006252 MATLOCK ROAD SUITE 430 07/31/2022 07/24/2020 07/24/2020 10/23/2020 Current
MANSFIELD, TX 76063
METHODIST STONE OAK FERTILITY
SURGERY CENTER
130166 210638270718707 HARDY OAK BLVD, SUITE 515 11/30/2021 11/01/2013 11/01/2013 12/30/2019 Current
SAN ANTONIO, TX 78258
Page 21 of 396/9/2021
License Type Code: 6813 - Rank Code: ALL - Status Code(s): 20 - Mdf: ALL
Profession Roster Report
Order By Name
Ambulatory Surgical Center
LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName
METHODIST SURGERY CENTER
BOERNE
130481 8303316006110 MENGER SPRINGS 05/31/2022 05/19/2020 05/19/2020 05/19/2020 Current
BOERNE, TX 78006
METHODIST SURGERY CENTER
LANDMARK
130534 21058375005510 PRESIDIO PARKWAY SUITE 100 06/30/2023 06/03/2021 06/03/2021 06/03/2021 Current
SAN ANTONIO, TX 78249
METRO ORTHO AND SPINE SURGERY
CENTER OF OAKBEND HEALTH
SYSTEM
130243 71348700014219 RICHMOND AVENUE SUITE 200 04/30/2023 05/01/2015 05/01/2015 07/03/2015 Current
HOUSTON, TX 77027
MID-TOWN SURGICAL CENTER130278 71357102152105 JACKSON STREET SUITE 200 01/31/2022 01/25/2016 01/25/2016 02/01/2016 Current
HOUSTON, TX 77003
MONTFORT SURGICAL CENTER PLLC130391 97233107195520 LBJ FREEWAY SUITE 150 06/30/2022 06/05/2018 06/05/2018 06/05/2018 Current
DALLAS, TX 75240
MOTHER FRANCES HOSPITAL
OUTPATIENT SURGERY CENTER
130178 9035950141415 SOUTH FLEISHEL 02/28/2022 02/19/2014 02/19/2014 03/18/2020 Current
TYLER, TX 75702
MOUNTAIN WEST SURGERY CENTER
OF MESA HILLS SPECIALTY HOSPITAL
130363 91553222223909 NORTH MESA STREET 10/31/2021 10/31/2017 10/31/2017 10/31/2017 Current
EL PASO, TX 79902
MT PLEASANT SURGICAL CENTER000359 90357266552009 NORTH JEFFERSON AVENUE 08/31/2022 08/26/1997 08/26/1997 06/22/2020 Current
MT PLEASANT, TX 75455
MUVE-LAKEWAY AMBULATORY
SURGICAL CENTER LLC
130324 51235782205329 SERENE HILLS DRIVE SUITE 100 03/31/2023 03/15/2017 03/15/2017 03/15/2017 Current
LAKEWAY, TX 78738
MVP SPECIALIST SURGERY CENTER
LLC
130345 71324457217501 FANNIN STREET SUITE 200 09/30/2021 09/15/2017 09/15/2017 09/15/2017 Current
HOUSTON, TX 77054
NACOGDOCHES SURGERY CENTER007238 93656095993610 NORTH UNIVERSITY DRIVE 11/30/2021 11/02/2000 11/02/2000 10/04/2007 Current
NACOGDOCHES, TX 75965
NEW BRAUNFELS SPINE & PAIN
SURGERY CENTER, LLC
130300 8303872343717 GENERATIONS DRIVE SUITE A 08/31/2022 08/12/2016 08/12/2016 08/12/2016 Current
NEW BRAUNFELS, TX 78130
NOLEN SOUTHLAKE SURGICAL
INSTITUTE
130532 6824773579300 SOUTH NOLEN DRIVE #160 02/28/2023 02/04/2021 02/04/2021 04/19/2021 Current
SOUTHLAKE, TX 76092
NORTH AUSTIN SURGERY CENTER008141 512832908812201 RENFERT WAY SUITE 120 11/30/2022 11/23/2004 11/23/2004 12/07/2010 Current
AUSTIN, TX 78758
Page 22 of 396/9/2021
License Type Code: 6813 - Rank Code: ALL - Status Code(s): 20 - Mdf: ALL
Profession Roster Report
Order By Name
Ambulatory Surgical Center
LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName
NORTH CENTRAL AMBULATORY
SURGERY CENTER
130414 9301 NORTH CENTRAL EXPRESSWAY
SUITE 670
12/31/2022 12/12/2018 12/12/2018 12/12/2018 Current
DALLAS, TX 75231
NORTH CYPRESS MEDICAL CENTER A
CAMPUS OF KINGWOOD MEDICAL
CENTER
130410 832912635921212 NORTHWEST FREEWAY 08/31/2022 08/31/2018 11/12/2018 11/12/2018 Current
CYPRESS, TX 77339
NORTH DALLAS SURGICARE000279 9729189400375 MUNICIPAL DRIVE SUITE 200 02/28/2022 09/25/1992 09/25/1992 02/25/2020 Current
RICHARDSON, TX 75080
NORTH HOUSTON CARDIOVASCULAR
SURGERY CENTER
130327 713335337419502 MCKAY BOULEVARD SUITE 203 04/30/2023 04/17/2017 04/17/2017 03/30/2021 Current
HUMBLE, TX 77338
NORTH HOUSTON ENDOSCOPY &
SURGERY
008709 2814405797275 LANTERN BEND SUITE 400 10/31/2022 10/24/2008 10/24/2008 10/24/2008 Current
HOUSTON, TX 77090
NORTH PARK HEART & VASCULAR
SURGERY CENTER LLC
130376 469232939311970 NORTH CENTRAL EXPRESSWAY
SUITE 610
03/31/2022 03/22/2018 03/22/2018 03/22/2018 Current
DALLAS, TX 75243
NORTH PARK SURGICAL INSTITUTE130445 972884440010400 NORTH CENTRAL EXPRESSWAY 04/30/2023 04/26/2019 04/26/2019 09/16/2019 Current
DALLAS, TX 75231
NORTH PINES SURGERY CENTER, LLC130272 93664181814019 I 45 NORTH SUITE 150 12/31/2021 12/09/2015 12/09/2015 12/09/2015 Current
CONROE, TX 77304
NORTH TEXAS GI CENTER007788 81726548441001 WALDROP SUITE 705 09/30/2021 09/20/2001 09/20/2001 10/07/2019 Current
ARLINGTON, TX 76012
NORTH TEXAS SURGERY CENTER000354 97228324007992 WEST VIRGINIA DRIVE 03/31/2023 03/04/1997 03/04/1997 02/16/2011 Current
DALLAS, TX 75237
NORTH TEXAS SURGERY CENTER LLC130342 90396530231001 SARA SWAMY DRIVE SUITE 200 09/30/2021 09/11/2017 09/11/2017 09/11/2017 Current
SHERMAN, TX 75090
NORTH TEXAS TEAM CARE SURGERY
CENTER, LLC
130071 97252860903865 CHILDRESS AVENUE SUITE B 12/31/2022 12/23/2010 12/23/2010 02/03/2011 Current
MESQUITE, TX 75150
NORTHSTAR SURGICAL CENTER A
DEPARTMENT OF LUBBOCK HEART
HOSPITAL
130235 80676148804640 NORTH LOOP 289 04/30/2023 04/09/2015 04/09/2015 05/06/2019 Current
LUBBOCK, TX 79416
NORTHWEST SURGERY CENTER LLP008513 512349400011111 RESEARCH BOULEVARD SUITE
LL3
05/31/2023 05/24/2007 05/24/2007 05/24/2007 Current
AUSTIN, TX 78759
Page 23 of 396/9/2021
License Type Code: 6813 - Rank Code: ALL - Status Code(s): 20 - Mdf: ALL
Profession Roster Report
Order By Name
Ambulatory Surgical Center
LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName
NORTHWEST SURGERY CENTER RED
OAK
000401 281895910017322 RED OAK DRIVE 11/30/2022 11/12/1998 11/12/1998 03/15/2011 Current
HOUSTON, TX 77090
NUVISION SAME DAY PROCEDURE
CENTER LLC
130437 21045515959725 DATAPOINT DR. STE. 136 06/30/2023 06/14/2019 06/14/2019 06/14/2019 Current
SAN ANTONIO, TX 78229
NW SURGERY CENTER130508 71346231944800 FEDERAL PLAZA DRIVE 11/30/2022 11/05/2020 11/05/2020 11/05/2020 Current
HOUSTON, TX 77092
OAK POINT SURGICAL SUITES LLC130418 46940910912201 K AVENUE SUITE B-100 01/31/2023 01/10/2019 01/10/2019 01/10/2019 Current
PLANO, TX 75074
OAKBEND SURGERY CENTER OF
GRAND PARKWAY
130519 28145641887830 W GRAND PARKWAY SOUTH
SUITE 150
05/31/2022 05/14/2020 05/14/2020 12/29/2020 Current
RICHMOND, TX 77406
OAKS SURGICAL CENTER LLC130495 83257112374126 SOUTHWEST FREEWAY SUITE
275
08/31/2022 08/10/2020 08/10/2020 09/01/2020 Current
HOUSTON, TX 77027
OAKWOOD SURGERY CENTER130112 512246877716030 PARK VALLEY DRIVE SUITE 100 05/31/2022 05/31/2012 05/31/2012 06/01/2012 Current
ROUND ROCK, TX 78681
ODESSA ENDOSCOPY CENTER LLC130059 4323358300315 EAST 5TH STREET 11/30/2022 11/05/2010 11/05/2010 11/05/2010 Current
ODESSA, TX 79761
OPHTHALMOLOGY SURGERY CENTER
OF DALLAS LLC
130034 214750928810740 NORTH CENTRAL EXPRESSWAY
SUITE 400
03/31/2022 03/23/2010 03/23/2010 03/23/2010 Current
DALLAS, TX 75231
ORBIS SURGERY CENTER130528 28156032001050 GEMINI STREET SUITE 101 03/31/2023 03/22/2021 03/22/2021 03/22/2021 Current
HOUSTON, TX 77058
ORTHOPAEDIC ASSOCIATES OF
CENTRAL TEXAS SURGERY CENTER
LLC
130520 51224407667600 N CAPITAL OF TEXAS HWY BLDG
A SUITE 100
01/31/2023 01/07/2021 01/07/2021 01/07/2021 Current
AUSTIN, TX 78731
ORTHOPAEDIC SURGERY CENTER OF
SAN ANTONIO
007839 2102532660400 CONCORD PLAZA DRIVE SUITE
200
04/30/2022 04/05/2002 04/05/2002 03/13/2008 Current
SAN ANTONIO, TX 78216
OSD SURGERY CENTER LP130524 28140432806921 BRISBANE COURT SUITE 100 02/28/2023 02/22/2021 02/22/2021 02/22/2021 Current
SUGAR LAND, TX 77479
OUTPATIENT SURGISITE000173 9039388581401A EAST PINECREST DRIVE 03/31/2022 03/21/1987 03/21/1987 03/10/2008 Current
MARSHALL, TX 75670
PAIN CARE OF NORTH TEXAS LLC008093 21450995301111 RAINTREE CIRCLE SUITE 190 07/31/2022 07/20/2004 07/20/2004 06/03/2008 Current
Page 24 of 396/9/2021
License Type Code: 6813 - Rank Code: ALL - Status Code(s): 20 - Mdf: ALL
Profession Roster Report
Order By Name
Ambulatory Surgical Center
LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName
ALLEN, TX 75013
PALESTINE LASER & SURGERY
CENTER
007940 9037314653501 B EAST KOLSTAD 04/30/2023 04/21/2003 04/21/2003 04/06/2007 Current
PALESTINE, TX 75801
PARAGON LASER & EYE SURGERY
CENTER LLC
130282 8174628240902 W RANDOL MILL ROAD SUITE 230 03/31/2022 03/03/2016 03/03/2016 03/03/2016 Current
ARLINGTON, TX 76012
PARAMOUNT SURGICAL CENTER PLLC130530 51267766053728 DACOMA STREET SUITE 115 12/31/2022 12/15/2020 12/15/2020 04/01/2021 Current
HOUSTON, TX 77092
PARC SURGICAL CENTER130464 21469562733716 STANDRIDGE DRIVE SUITE 100 02/28/2022 02/04/2020 02/04/2020 02/04/2020 Current
THE COLONY, TX 75056
PARIS CARDIOLOGY CENTER CATH
LAB
130239 90378314442620 SPUR 139 05/31/2023 05/26/2015 05/26/2015 05/26/2015 Current
PARIS, TX 75462
PARIS SURGERY CENTER, LLC130187 90327299242905 PINE MILL ROAD 04/30/2022 04/09/2014 04/09/2014 04/09/2014 Current
PARIS, TX 75460
PARK AMBULATORY SURGERY
CENTER, LLC
130172 21429970105055 W. PARK BLVD. SUITE 800 01/31/2022 01/09/2014 01/09/2014 01/09/2014 Current
PLANO, TX 75093
PARK CITIES SURGERY CENTER007967 21470669016901 SNIDER PLAZA SUITE 300 07/31/2022 07/22/2003 07/22/2003 06/06/2012 Current
UNIVERSITY PARK, TX 75205
PARK HUDSON SURGERY CENTER008244 97977490533811 SAGEBRIAR DRIVE 07/31/2023 07/20/2005 07/20/2005 06/08/2007 Current
BRYAN, TX 77802
PARKHILL SURGERY CENTER PLANO
LLC
130512 46930031317000 W PLANO PARKWAY SUITE 100 11/30/2022 11/05/2020 11/05/2020 12/09/2020 Current
PLANO, TX 75093
PARKSIDE SURGERY CENTER130260 9367607660690 S LOOP 336 W SUITE 130 09/30/2021 09/29/2015 09/29/2015 09/29/2015 Current
CONROE, TX 77304
PASO DEL NORTE SURGERY CENTER006838 9155328200125 WEST CASTELLANO 02/28/2023 02/08/1999 02/08/1999 02/18/2011 Current
EL PASO, TX 79912
PASTEUR PLAZA SURGERY CENTER LP007850 21058159007909 FREDERICKSBURG ROAD SUITE
222
05/31/2023 05/21/2002 05/21/2002 04/11/2013 Current
SAN ANTONIO, TX 78229
PEAK HEALTH SURGICARE LLC130467 2144179065610 N COIT SUITE 2100 02/28/2022 02/06/2020 02/06/2020 02/06/2020 Current
RICHARDSON, TX 75080
PEAK HEALTH SURGICARE OF
HORIZON MEDICAL CENTER
130466 21482120011190 N HASKELL 12/31/2021 12/19/2019 12/19/2019 02/05/2020 Current
Page 25 of 396/9/2021
License Type Code: 6813 - Rank Code: ALL - Status Code(s): 20 - Mdf: ALL
Profession Roster Report
Order By Name
Ambulatory Surgical Center
LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName
DALLAS, TX 75204
PEARLAND SURGERY CENTER, LLC130117 832255750015015 KIRBY DRIVE SUITE 100 07/31/2022 07/12/2012 07/12/2012 07/12/2012 Current
PEARLAND, TX 77047
PETERSON REGIONAL AMBULATORY
CARE CENTER
007181 8302587728260 CULLY DRIVE 05/31/2022 05/23/2000 05/23/2000 04/09/2008 Current
KERRVILLE, TX 78028
PHYSICIAN SURGERY CENTER OF
LONGVIEW REGIONAL MEDICAL
CENTER
008594 90324892401404 NORTH 4TH STREET 12/31/2021 12/01/2007 12/01/2007 12/17/2019 Current
LONGVIEW, TX 75605
PHYSICIANS DAYSURGERY CENTER007821 21482707603930 CRUTCHER STREET 01/31/2022 01/11/2002 01/11/2002 01/16/2008 Current
DALLAS, TX 75246
PHYSICIANS ENDOSCOPY CENTER130024 71358709093030 SOUTH GESSENER ROAD SUITE
150
11/30/2021 11/05/2009 11/05/2009 11/05/2009 Current
HOUSTON, TX 77063
PHYSICIANS WEST HOUSTON
SURGICAL CT LLC DBA PARK TEN
SURGICAL CT
130266 281647230015775 PARK TEN PLACE 10/31/2021 11/01/2015 11/01/2015 05/24/2016 Current
HOUSTON, TX 77084
PINEY POINT SURGERY CENTER130046 71378282792500 FONDREN SUITE 350 05/31/2022 06/14/2010 06/14/2010 05/27/2010 Current
HOUSTON, TX 77063
PINNACLE SURGERY CENTER OF
AUSTIN LLC
130340 5125531700911 WEST 38TH STREET SUITE 400 08/31/2021 08/18/2017 08/18/2017 01/18/2018 Current
AUSTIN, TX 78705
PLANNED PARENTHOOD CENTER FOR
CHOICE ASC
130061 71353524004600 GULF FREEWAY SUITE 300 11/30/2022 11/15/2010 11/15/2010 08/10/2011 Current
HOUSTON, TX 77023
PLANNED PARENTHOOD OF GREATER
TEXAS SURGICAL HEALTH SERVICES
130193 21437318687989 W VIRGINIA DRIVE SUITE 102 07/31/2022 07/01/2014 07/01/2014 05/21/2020 Current
DALLAS, TX 75237
PLANNED PARENTHOOD OF GREATER
TEXAS SURGICAL HEALTH SERVICES
130148 81734677406464 JOHN RYAN DRIVE 05/31/2023 05/17/2013 05/17/2013 05/09/2019 Current
FORT WORTH, TX 76132
PLANNED PARENTHOOD OF GREATER
TEXAS SURGICAL HEALTH SERVICES
130121 5122750171201 E BEN WHITE BLVD SUITE A 08/31/2022 08/31/2012 09/04/2012 10/23/2018 Current
AUSTIN, TX 78704
PLANNED PARENTHOOD SOUTH
TEXAS SURGICAL CENTER
130241 21073622622140 BABCOCK ROAD SUITE 100 06/30/2023 06/26/2015 06/26/2015 06/14/2018 Current
SAN ANTONIO, TX 78229
Page 26 of 396/9/2021
License Type Code: 6813 - Rank Code: ALL - Status Code(s): 20 - Mdf: ALL
Profession Roster Report
Order By Name
Ambulatory Surgical Center
LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName
PLANO CENTER FOR SURGICAL ARTS
LLC
007155 97262017005316 WEST PLANO PARKWAY 02/28/2022 02/14/2000 02/14/2000 05/24/2019 Current
PLANO, TX 75093
PLATINUM SURGERY CENTER000380 95638960002220 PEASE STREET 04/30/2023 04/22/1998 04/22/1998 03/29/2007 Current
HARLINGEN, TX 78550
PRECINCT AMBULATORY SURGERY
CENTER LLC
130171 81736939951717 PRECINCT LINE ROAD #101 12/31/2021 12/01/2013 12/01/2013 12/17/2019 Current
HURST, TX 76054
PRECISION AMBULATORY SURGERY
CENTER LLC
130476 81774178789439 NORTH BEACH ST 04/30/2022 04/30/2020 04/30/2020 04/30/2020 Current
FORT WORTH, TX 76244
PRECISION SURGERY CENTER LLC130457 90330607111802 MOORES LANE SUITE 200 01/31/2022 01/06/2020 01/06/2020 01/06/2020 Current
TEXARKANA, TX 75503
PREMIER SURGICAL PAVILION OF
SUGAR LAND
130390 28149469036350 HIGHWAY 90A SUITE 700 06/30/2022 06/04/2018 06/04/2018 06/04/2018 Current
SUGAR LAND, TX 77478
PRESTON SURGERY CENTER, LLC130165 21438741007589 PRESTON ROAD SUITE 100 10/31/2021 10/17/2013 10/17/2013 10/17/2013 Current
FRISCO, TX 75034
PROFFER SURGICAL CENTER130433 80651363871611 WALLACE BLVD. STE. 100 05/31/2023 05/09/2019 05/09/2019 05/09/2019 Current
AMARILLO, TX 79106
PROVINCIAL PARK SURGERY CENTER130100 713554635021300 PROVINCIAL BLVD SUITE 200 01/31/2022 01/30/2012 01/30/2012 01/29/2020 Current
KATY, TX 77450
PSA AMBULATORY SURGERY CENTER
OF KILLEEN LLC
130208 25441576732701 E. STAN SCHLUETER LOOP 10/31/2022 10/21/2014 10/21/2014 01/10/2018 Current
KILLEEN, TX 76542
PSA AMBULATORY SURGICAL CENTER
OF AUSTIN LLC
008505 51283612004100 DUVAL ROAD BLDG III SUITE 100 04/30/2023 04/27/2007 04/27/2007 05/06/2019 Current
AUSTIN, TX 78759
RAIDER SURGICAL CENTER LLC130305 95696831711400 E RIDGE ROAD SUITE 3 09/30/2022 09/09/2016 09/09/2016 09/09/2016 Current
MCALLEN, TX 78503-1536
REGENERATIVE SURGICAL130428 34635440803534 VISTA ROAD 01/31/2023 02/01/2019 04/02/2019 02/01/2019 Current
PASADENA, TX 77504
REGIONAL PLASTIC SURGERY CENTER
- SHERMAN
130449 90389363111111 SARA SWAMY DRIVE SUITE B 09/30/2021 09/30/2017 09/30/2017 11/05/2019 Current
SHERMAN, TX 75090
RHYTHM ENDOVASCULAR & HEART
ASC
130533 21096182825418 N LOOP 1604 W SUITE 250A 05/31/2023 05/12/2021 05/12/2021 05/12/2021 Current
Page 27 of 396/9/2021
License Type Code: 6813 - Rank Code: ALL - Status Code(s): 20 - Mdf: ALL
Profession Roster Report
Order By Name
Ambulatory Surgical Center
LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName
SAN ANTONIO, TX 78249
RICELAND SURGERY CENTER130268 4099815500390 NORTH 11TH STREET 10/31/2021 10/16/2015 10/16/2015 11/24/2015 Current
BEAUMONT, TX 77702
RIDGEWOOD ORTHOPAEDIC SURGERY
CENTER OF SAN ANTONIO
130515 210489727819138 N US HWY 281 SUITE 300 12/31/2022 12/16/2020 12/16/2020 12/16/2020 Current
SAN ANTONIO, TX 78258
RIO GRANDE REGIONAL HOSPITAL
OUTPATIENT SURGERY CENTER
130181 95663260001809 SOUTH CYNTHIA STREET 03/31/2022 03/01/2014 03/03/2014 03/07/2016 Current
MCALLEN, TX 78503
RIVER OAKS ENDOSCOPY CENTER008576 93649436361501 RIVER POINTE DRIVE SUITE 260 10/31/2021 10/22/2007 10/22/2007 10/22/2007 Current
CONROE, TX 77304
RIVER OAKS SURGERY CENTER OF
OAKBEND HEALTH SYSTEM
130274 71362685004120 SOUTHWEST FREEWAY SUITE
100
10/31/2021 11/01/2015 11/01/2015 12/17/2015 Current
HOUSTON, TX 77027
ROBERT B GREEN AMBULATORY
SURGERY CENTER
130151 2103582000903 WEST MARTIN STREET 06/30/2021 06/26/2013 06/26/2013 06/26/2013 Current
SAN ANTONIO, TX 78207
ROC ASC, LLP130073 28195383211200 BINZ STREET SUITE 101 01/31/2023 01/04/2011 01/04/2011 01/04/2011 Current
HOUSTON, TX 77004
RUSHLAND PARK SURGICENTER LP000304 80679133774404 6TH STREET 12/31/2021 12/08/1994 12/08/1994 01/13/2020 Current
LUBBOCK, TX 79416
SAME DAY SURGICARE130217 8177846771350 E. INTERSTATE 20 SUITE 200 01/31/2023 01/30/2015 01/30/2015 01/10/2020 Current
ARLINGTON, TX 76018
SAN ANTONIO CHILDRENS SURGICAL130199 21071424888706 FREDERICKSBURG ROAD SUITE
104
08/31/2022 08/20/2014 08/20/2014 08/20/2014 Current
SAN ANTONIO, TX 78240
SAN ANTONIO ENDOSCOPY CENTER008225 21061572328550 DATAPOINT SUITE 100 06/30/2023 06/02/2005 06/02/2005 05/16/2007 Current
SAN ANTONIO, TX 78229
SAN ANTONIO EYE SURGICENTER130507 2102266169715 CAMDEN STREET 11/30/2022 11/04/2020 11/04/2020 11/04/2020 Current
SAN ANTONIO, TX 78215
SAN ANTONIO GASTROENTEROLOGY
ENDOSCOPY CENTER NORTH
008496 2104919998150 EAST SONTERRA BLVD SUITE 110 04/30/2023 04/05/2007 04/05/2007 03/27/2015 Current
SAN ANTONIO, TX 78258
SAN ANTONIO GASTROENTEROLOGY
ENDOSCOPY CENTER- MED CENTER
130097 21058192902833 BABCOCK RD, SUITE 120 11/30/2021 11/22/2011 11/22/2011 01/13/2021 Current
SAN ANTONIO, TX 78229
SAN MARCOS SURGERY CENTER130150 51275479991891 MEDICAL PARKWAY 06/30/2023 06/01/2013 06/01/2013 04/26/2021 Current
Page 28 of 396/9/2021
License Type Code: 6813 - Rank Code: ALL - Status Code(s): 20 - Mdf: ALL
Profession Roster Report
Order By Name
Ambulatory Surgical Center
LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName
SAN MARCOS, TX 78666
SARATOGA SURGICAL CENTER130299 36145254606214 SARATOGA BLVD BUILDING 006 08/31/2022 08/12/2016 08/12/2016 08/12/2016 Current
CORPUS CHRISTI, TX 78414
SCOTTISH RITE FOR CHILDREN130409 46951572225700 DALLAS PARKWAY 10/31/2022 10/30/2018 10/30/2018 10/30/2018 Current
FRISCO, TX 75034
SELECT AMBULATORY SURGERY
CENTER OF FORT WORTH LLC
130265 97223447402001 COOPER STREET 10/31/2021 10/31/2015 10/31/2015 11/02/2015 Current
FORT WORTH, TX 76104
SHANNON SURGERY CENTER008641 32548658004482 SUNSET DRIVE 04/30/2022 04/03/2008 04/03/2008 03/19/2020 Current
SAN ANGELO, TX 76901
SHANNON SURGERY CENTER SOUTH130504 32522305553605 EXECUTIVE DR 10/31/2022 10/24/2020 10/24/2020 01/15/2021 Current
SAN ANGELO, TX 76904
SIMMONS AMBULATORY SURGERY
CENTER
008433 21459017734900 HARRY HINES BLVD 12/31/2022 12/08/2006 12/08/2006 12/23/2010 Current
DALLAS, TX 75235
SONTERRA PROCEDURE CENTER130133 2102818314225 E. SONTERRA BLVD SUITE 101 11/30/2022 11/13/2012 11/13/2012 01/16/2019 Current
SAN ANTONIO, TX 78258
SOUTH AUSTIN SURGERY CENTER130296 51244078944207 JAMES CASEY SUITE 203 08/31/2022 08/03/2016 08/03/2016 08/05/2016 Current
AUSTIN, TX 78745
SOUTH PLAINS ENDOSCOPY CENTER000278 80679710153610 24TH STREET 03/31/2023 03/24/1994 03/24/1994 03/01/2007 Current
LUBBOCK, TX 79410
SOUTH PLAINS SURGERY CENTER130399 80645150054412 6TH STREET 08/31/2022 08/27/2018 08/27/2018 08/27/2018 Current
LUBBOCK, TX 79416
SOUTH SHORE SURGICENTER LLC130038 28153866002622 MARINA BAY DRIVE 04/30/2022 04/26/2010 04/26/2010 01/02/2013 Current
LEAGUE CITY, TX 77573
SOUTH TEXAS AMBULATORY
SURGERY CENTER, PLLC
130060 21069605009238 FLOYD CURL DRIVE SUITE 100 11/30/2022 11/15/2010 11/15/2010 12/08/2010 Current
SAN ANTONIO, TX 78240
SOUTH TEXAS EYE SURGICENTER INC000144 36157801074406 NORTH LAURENT STREET 12/31/2022 01/01/1986 01/01/1986 12/09/2010 Current
VICTORIA, TX 77901
SOUTH TEXAS SPINE & SURGICAL
OUTPATIENT CENTER
130183 210880989718518 HARDY OAK BLVD SUITE 100 02/28/2022 02/05/2014 03/11/2014 07/31/2020 Current
SAN ANTONIO, TX 78258
SOUTH TEXAS SURGICAL HOSPITAL
OUTPATIENT CENTER
008062 36198651005837 SPOHN DRIVE 05/31/2023 05/07/2004 05/07/2004 05/16/2007 Current
CORPUS CHRISTI, TX 78413
Page 29 of 396/9/2021
License Type Code: 6813 - Rank Code: ALL - Status Code(s): 20 - Mdf: ALL
Profession Roster Report
Order By Name
Ambulatory Surgical Center
LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName
SOUTH TEXAS SURGICAL INSTITUTE130350 21020063928122 DATAPOINT DRIVE SUITE 105 10/31/2021 10/10/2017 10/10/2017 12/03/2019 Current
SAN ANTONIO, TX 78229
SOUTHEAST SURGICENTER INC007867 713474141412811 BEAMER ROAD 08/31/2022 08/23/2002 08/23/2002 09/17/2020 Current
HOUSTON, TX 77089
SOUTHSIDE SPECIALTY SURGICAL
CENTER LLC
130461 36140031686005 HOLLY ROAD 01/31/2022 01/27/2020 01/27/2020 01/27/2020 Current
CORPUS CHRISTI, TX 78412
SOUTHWEST ENDOSCOPY & SURGERY
CENTER LTD
008364 8172939292701 EAST RENDON-CROWLEY ROAD 05/31/2022 05/17/2006 05/17/2006 06/17/2020 Current
BURLESON, TX 76028
SOUTHWEST FORT WORTH
ENDOSCOPY CENTER
130286 81742328886317 HARRIS PARKWAY SUITE 100 04/30/2022 04/13/2016 04/13/2016 04/13/2016 Current
FORT WORTH, TX 76132
SOUTHWESTERN WOMENS SURGERY
CENTER LP
130019 21474293108616 GREENVILLE AVENUE SUITE 101 10/31/2021 10/02/2009 10/02/2009 10/02/2009 Current
DALLAS, TX 75243
SPECIALTY SURGERY CENTER008277 21061460595255 PRUE ROAD SUITE 100 09/30/2021 09/26/2005 09/26/2005 01/28/2019 Current
SAN ANTONIO, TX 78240
SPICEWOOD SURGERY CENTER130448 713253890213617 CALDWELL DRIVE SUITE 200 10/31/2021 10/15/2019 10/15/2019 10/22/2019 Current
AUSTIN, TX 78750
SPINECARE LLP008169 36165311255734 SPOHN DRIVE SUITE B 02/28/2023 02/04/2005 02/04/2005 02/07/2011 Current
CORPUS CHRISTI, TX 78414
SPINETECH SURGERY CENTER LLC130332 4092995281950 NORTH 11TH STREET 04/30/2023 05/24/2017 04/28/2017 05/06/2019 Current
BEAUMONT, TX 77702
SPORTSORTHO SURGERY CENTER130384 9562323088610 KAMALI DRIVE 04/30/2022 04/25/2018 04/25/2018 04/25/2018 Current
HARLINGEN, TX 78550
ST DAVIDS AUSTIN SURGERY CENTER130388 512901834012200 RENFERT WAY SUITE G-2 05/31/2022 05/21/2018 05/21/2018 05/21/2018 Current
AUSTIN, TX 78758
ST MARY AMBULATORY SURGERY
CENTER
130477 28157380881006 WINDSOR LAKES BLVD STE 100 05/31/2022 05/04/2020 05/04/2020 05/04/2020 Current
CONROE, TX 77384
STONE OAK SURGERY CENTER LLC130093 2102671374123 NORTH LOOP 1604 EAST SUITE 107 10/31/2021 10/13/2011 10/13/2011 01/07/2021 Current
SAN ANTONIO, TX 78232
STONEBRIDGE SURGERY CENTER130111 97263238008855 SYNERGY DRIVE 05/31/2022 05/15/2012 05/15/2012 05/15/2012 Current
MCKINNEY, TX 75070
STONEGATE SURGERY CENTER LP008385 51243973002501 WEST WILLIAM CANNON DRIVE
SUITE 301
08/31/2022 08/17/2006 08/17/2006 07/25/2008 Current
Page 30 of 396/9/2021
License Type Code: 6813 - Rank Code: ALL - Status Code(s): 20 - Mdf: ALL
Profession Roster Report
Order By Name
Ambulatory Surgical Center
LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName
AUSTIN, TX 78745
STRICTLY PEDIATRICS SURGERY
CENTER
008487 51247473371301 BARBARA JORDAN BLVD SUITE
100
03/31/2023 03/26/2007 03/26/2007 02/17/2011 Current
AUSTIN, TX 78723
SUGAR LAND SURGERY CENTER008373 281274667015300 SOUTHWEST FREEWAY SUITE
100
06/30/2022 06/16/2006 06/16/2006 05/14/2008 Current
SUGAR LAND, TX 77478
SUMMIT AMBULATORY SURGERY
CENTER
007253 71362249954126 SOUTHWEST FREEWAY SUITE
108
12/31/2021 12/21/2000 12/21/2000 12/30/2019 Current
HOUSTON, TX 77027
SURGCENTER OF GREATER DALLAS
LLC
130446 469563893211411 E NORTHWEST HIGHWAY SUITE
220
10/31/2021 10/07/2019 10/07/2019 10/07/2019 Current
DALLAS, TX 75218
SURGCENTER OF PLANO LLC130194 46920970546101 WINDHAVEN PARKWAY, SUITE
195
07/31/2022 07/10/2014 07/10/2014 07/10/2014 Current
PLANO, TX 75093-8271
SURGERY CENTER 121 LLC130424 97240311109955 GILLESPIE DRIVE SUITE 200 02/28/2023 02/07/2019 02/07/2019 02/07/2019 Current
PLANO, TX 75025
SURGERY CENTER OF AMARILLO130348 80641888701010 SOUTH COULTER STREET 10/31/2021 10/06/2017 10/06/2017 10/06/2017 Current
AMARILLO, TX 79106
SURGERY CENTER OF BOERNE130426 8303317700112 HERFF ROAD SUITE 200 03/31/2023 03/18/2019 03/18/2019 03/18/2019 Current
BOERNE, TX 78006
SURGERY CENTER OF NORTH TEXAS
PLLC
130498 2148311300330 STANDRIDGE BLVD 10/31/2022 10/14/2020 10/14/2020 10/14/2020 Current
ANNA, TX 75409
SURGERY CENTER OF NORTHEAST
TEXAS
130102 90379221081902 MOORES LANE, SUITE B 03/31/2022 03/01/2012 03/16/2012 03/20/2012 Current
TEXARKANA, TX 75503
SURGERY CENTER OF PLANO130236 97251911004005 W 15TH ST 05/31/2023 05/01/2015 05/01/2015 05/01/2015 Current
PLANO, TX 75093
SURGERY CENTER OF TEXAS130078 97254324646020 WEST PLANO PARKWAY 02/28/2023 02/14/2011 02/14/2011 02/22/2011 Current
PLANO, TX 75093
SURGERY CENTER OF THE
WOODLANDS
130416 26710 1-45 NORTH SUITE B-100 11/30/2022 11/27/2018 01/08/2019 11/27/2018 Current
SPRING, TX 77386
SURGEYECARE GENERAL
PARTNERSHIP
007861 21436114435421 LA SIERRA DRIVE 07/31/2022 07/02/2002 07/02/2002 07/29/2020 Current
DALLAS, TX 75231
Page 31 of 396/9/2021
License Type Code: 6813 - Rank Code: ALL - Status Code(s): 20 - Mdf: ALL
Profession Roster Report
Order By Name
Ambulatory Surgical Center
LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName
SURGICAL AND DIAGNOSTIC CENTER
LP
007186 8172821001729 BEDFORD EULESS ROAD WEST
SUITE 100
06/30/2021 06/08/2000 06/08/2000 08/22/2019 Current
HURST, TX 76053
SURGICAL ARTS CENTER007132 21030856816501 BLANCO ROAD 11/30/2021 12/01/1999 12/01/1999 10/03/2007 Current
SAN ANTONIO, TX 78216
SURGICAL CENTER OF EL PASO007330 91553384121815 NORTH STANTON STREET 06/30/2023 06/13/2001 06/13/2001 01/16/2009 Current
EL PASO, TX 79902
SURGICAL CENTERS OF NORTH TEXAS130499 81786517712400 MATLOCK ROAD 10/31/2022 10/14/2020 10/14/2020 10/14/2020 Current
ARLINGTON, TX 76015
SURGICAL EYE CENTER OF SAN
ANTONIO, LLC
130203 210447720011601 TOPPERWEIN ROAD SUITE 2020 09/30/2022 09/05/2014 09/05/2014 09/05/2014 Current
SAN ANTONIO, TX 78233
SURGICARE OF SOUTH AUSTIN007954 51241660064307 JAMES CASEY STREET 06/30/2021 06/09/2003 06/09/2003 09/02/2014 Current
AUSTIN, TX 78745
SURGISTAR LP130031 21443142448315 WALNUT HILL LANE SUITE 110 02/28/2022 02/05/2010 02/05/2010 01/06/2020 Current
DALLAS, TX 75231
TEXAN PROCEDURE CENTER LLC130395 91528832247924 GATEWAY EAST BOULEVARD
#150 J
07/31/2022 07/24/2018 07/24/2018 07/24/2018 Current
EL PASO, TX 79915
TEXAN SURGERY CENTER007965 51234209007000 NORTH MOPAC SUITE 120 07/31/2022 07/03/2003 07/03/2003 06/10/2008 Current
AUSTIN, TX 78731
TEXARKANA SURGERY CENTER006923 90379348725404 SUMMERHILL ROAD 03/31/2022 03/02/1999 03/02/1999 02/21/2008 Current
TEXARKANA, TX 75503
TEXAS AMBULATORY SURGICAL
CENTER
008118 71388035402505 N SHEPHERD DR SUITE 101 09/30/2021 09/22/2004 09/22/2004 05/25/2021 Current
HOUSTON, TX 77008
TEXAS CENTER FOR INTERVENTIONAL
SURGERY LLC
130326 97273300144450 SOJOURN DRIVE SUITE 200 04/30/2023 04/05/2017 04/05/2017 04/05/2017 Current
ADDISON, TX 75001
TEXAS ENDOSCOPY130198 97247392926405 WEST PARKER ROAD SUITE 370 06/30/2022 06/01/2014 06/01/2014 06/01/2014 Current
PLANO, TX 75093
TEXAS ENDOSCOPY AT
INDEPENDENCE MEDICAL VILLAGE
130223 97290830008080 INDEPENDENCE PARKWAY SUITE
160
01/31/2023 01/29/2015 01/29/2015 01/29/2015 Current
PLANO, TX 75025
TEXAS EYE SURGERY CENTER LLC008515 81755402001872 NORWOOD DRIVE SUITE 100 05/31/2023 05/29/2007 05/29/2007 11/28/2018 Current
HURST, TX 76054
TEXAS GI ENDOSCOPY CENTER008615 97227035902704 NORTH GALLOWAY SUITE 102 01/31/2022 01/10/2008 01/10/2008 12/16/2019 Current
Page 32 of 396/9/2021
License Type Code: 6813 - Rank Code: ALL - Status Code(s): 20 - Mdf: ALL
Profession Roster Report
Order By Name
Ambulatory Surgical Center
LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName
MESQUITE, TX 75150
TEXAS HEALTH CRAIG RANCH
SURGERY CENTER LLC
130145 97252156008080 STATE HIGHWAY 121 SUITE 100 04/30/2023 04/08/2013 04/24/2013 04/08/2013 Current
MCKINNEY, TX 75070
TEXAS HEALTH HUGULEY SURGERY
CENTER
130361 817615440012001 SOUTH FREEWAY SUITE 101 01/31/2022 01/15/2018 01/15/2018 02/05/2018 Current
BURLESON, TX 76028
TEXAS HEALTH JOINT REPLACEMENT
SURGERY CENTER
130484 83371207566317 HARRIS PARKWAY SUITE 200 05/31/2022 05/22/2020 05/22/2020 05/27/2020 Current
FORT WORTH, TX 76132
TEXAS HEALTH ORTHOPEDIC
SURGERY CENTER - FLOWER MOUND
130157 46924085405000 LONG PRAIRIE ROAD SUITE 202 08/31/2021 08/30/2013 08/30/2013 11/08/2016 Current
FLOWER MOUND, TX 75028
TEXAS HEALTH ORTHOPEDIC
SURGERY CENTER HERITAGE
130400 68231264649848 NORTH BEACH STREET 09/30/2022 09/06/2018 09/06/2018 09/06/2018 Current
FORT WORTH, TX 76244
TEXAS HEALTH OUTPATIENT SURGERY
CENTER FORT WORTH
130107 8172507007800 5TH AVENUE SUITE 200 02/28/2022 02/29/2012 03/07/2012 02/29/2012 Current
FORT WORTH, TX 76104
TEXAS HEALTH SPINE SURGERY
CENTER ALLEN LLC
130374 81744293001120 RAINTREE CIRCLE SUITE 100 03/31/2022 03/14/2018 03/14/2018 03/14/2018 Current
ALLEN, TX 75013
TEXAS HEALTH SPINE SURGERY
CENTER ALLIANCE LLC
130465 817930500210900 FOUNDERS WAY SUITE 100 02/28/2022 02/05/2020 02/05/2020 02/05/2020 Current
FORT WORTH, TX 76244
TEXAS HEALTH SURGERY CENTER
ADDISON
130095 972913771517980 DALLAS PARKWAY SUITE 100 10/31/2021 10/26/2011 10/26/2011 08/06/2014 Current
DALLAS, TX 75287
TEXAS HEALTH SURGERY CENTER
ALLIANCE
130346 877410629010840 TEXAS HEALTH TRAIL SUITE
100
09/30/2021 09/18/2017 09/18/2017 09/18/2017 Current
FORT WORTH, TX 76244
TEXAS HEALTH SURGERY CENTER
ARLINGTON
000100 8178609933918 NORTH DAVIS DRIVE 12/31/2022 01/01/1986 01/01/1986 09/14/2016 Current
ARLINGTON, TX 76012
TEXAS HEALTH SURGERY CENTER
BEDFORD
130334 68250389401605 AIRPORT FREEWAY SUITE 100 05/31/2023 05/26/2017 05/26/2017 05/26/2017 Current
BEDFORD, TX 76021
TEXAS HEALTH SURGERY CENTER
CLEBURNE
008560 81764508112010 WEST KATHERINE P RAINES
SUITE 100
09/30/2021 09/17/2007 09/17/2007 12/30/2013 Current
CLEBURNE, TX 76033
Page 33 of 396/9/2021
License Type Code: 6813 - Rank Code: ALL - Status Code(s): 20 - Mdf: ALL
Profession Roster Report
Order By Name
Ambulatory Surgical Center
LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName
TEXAS HEALTH SURGERY CENTER
DALLAS
000163 21489104667150 GREENVILLE AVENUE SUITE 200 11/30/2022 11/05/1986 11/05/1986 11/30/2010 Current
DALLAS, TX 75231
TEXAS HEALTH SURGERY CENTER
DENTON
130537 94038371002515 SCRIPTURE STREET 06/30/2023 06/01/2021 06/01/2021 06/01/2021 Current
DENTON, TX 76201
TEXAS HEALTH SURGERY CENTER
DENTON
008295 9403837100207 NORTH BONNIE BRAE 11/30/2021 11/10/2005 11/10/2005 10/14/2019 Current
DENTON, TX 76201
TEXAS HEALTH SURGERY CENTER
FORT WORTH MIDTOWN
000121 81787747772001 WEST ROSEDALE 12/31/2021 01/01/1987 01/01/1987 12/03/2019 Current
FORT WORTH, TX 76104
TEXAS HEALTH SURGERY CENTER
IRVING LLC
130398 97243852322120 NORTH MACARTHUR BLVD.
SUITE 200
08/31/2022 08/08/2018 08/27/2018 01/14/2020 Current
IRVING, TX 75061
TEXAS HEALTH SURGERY CENTER
PARK HILL
130222 81758519003455 LOCKE AVENUE 01/31/2023 01/28/2015 01/28/2015 05/26/2017 Current
FORT WORTH, TX 76107
TEXAS HEALTH SURGERY CENTER
PRESTON PLAZA
008328 972267540017950 PRESTON ROAD SUITE 75 02/28/2022 02/22/2006 02/22/2006 03/02/2015 Current
DALLAS, TX 75252
TEXAS HEALTH SURGERY CENTER
ROCKWALL
130381 97284514693144 HORIZON ROAD SUITE 120 04/30/2022 04/10/2018 04/10/2018 04/10/2018 Current
ROCKWALL, TX 75032
TEXAS HEALTH SURGERY CENTER
WAXAHACHIE LLC
130535 83336412011434 W US HWY 287 BYPASS SUITE 100 05/31/2023 05/19/2021 05/19/2021 05/19/2021 Current
WAXAHACHIE, TX 75165
TEXAS INTERNATIONAL ENDOSCOPY
CENTER
130155 71352084326620 MAIN STREET, SUITE 1500 05/31/2023 05/01/2013 08/05/2013 05/01/2013 Current
HOUSTON, TX 77030
TEXAS MIDWEST ENDOSCOPY
CENTER LLC
130488 325232659614 HOSPITAL DRIVE SUITE B 06/30/2022 06/22/2020 06/22/2020 06/22/2020 Current
ABILENE, TX 79606
TEXAS MIDWEST SURGERY CENTER007182 3256776555751 NORTH 18TH STREET 05/31/2023 05/24/2000 05/24/2000 04/24/2007 Current
ABILENE, TX 79601
TEXAS ORTHOPEDICS SURGERY
CENTER
007846 51243910064700 SETON CENTER PARKWAY SUITE
100
04/30/2023 04/24/2002 04/24/2002 04/17/2007 Current
AUSTIN, TX 78759
TEXAS PARTNERS CENTER130526 81790597613304 COLORADO AVENUE SUITE 203 03/31/2023 03/04/2021 03/04/2021 03/04/2021 Current
Page 34 of 396/9/2021
License Type Code: 6813 - Rank Code: ALL - Status Code(s): 20 - Mdf: ALL
Profession Roster Report
Order By Name
Ambulatory Surgical Center
LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName
DENTON, TX 76210
TEXAS PEDIATRIC SURGERY CENTER006971 81725510504375 BOOTH CALLOWAY ROAD SUITE
100
05/31/2022 05/12/1999 05/12/1999 04/11/2008 Current
NORTH RICHLAND HILLS, TX 76180
TEXAS PRECISION SURGERY CENTER130240 36133413005721 ESPLANADE DRIVE 06/30/2023 06/09/2015 06/09/2015 09/11/2020 Current
CORPUS CHRISTI, TX 78414
TEXAS SURGICAL CENTER130106 43269942245609 DEAUVILLE BLVD. 12/31/2021 12/31/2011 03/05/2012 12/31/2011 Current
MIDLAND, TX 79706
TEXOMA OUTPATIENT SURGERY
CENTER INC
000317 94072324991712 ELEVENTH STREET 06/30/2022 10/18/1994 10/18/1994 05/14/2008 Current
WICHITA FALLS, TX 76301
TEXOMA VALLEY SURGERY CENTER
LP
007256 90389305001419 B NORTH TRAVIS 01/31/2023 01/05/2001 01/05/2001 12/07/2010 Current
SHERMAN, TX 75092
THE AMBULATORY SURGICAL CENTER
(ASC) AT LBJ
130182 71356692455550 KELLEY ST. 3RD FLOOR 03/31/2022 03/04/2014 03/04/2014 02/11/2020 Current
HOUSTON, TX 77026
THE CATARACT CENTER OF EAST
TEXAS
007870 9035954333802 TURTLE CREEK DRIVE 09/30/2021 09/03/2002 09/03/2002 08/07/2019 Current
TYLER, TX 75701
THE CENTER FOR CARDIOVASCULAR
EXCELLENCE
130471 888785731025450 KUYKENDAHL SUITE 110 04/30/2022 04/10/2020 04/10/2020 04/10/2020 Current
TOMBALL, TX 77375
THE CENTER FOR SIGHT000272 93663484342 MEDICAL CENTER BOULEVARD 09/30/2021 09/14/1993 09/14/1993 09/05/2007 Current
LUFKIN, TX 75904
THE CENTER FOR SPECIAL SURGERY
AT TCA
130174 210575570021 SPURS LANE SUITE SL-100 02/28/2022 02/01/2014 02/04/2014 02/01/2014 Current
SAN ANTONIO, TX 78240
THE CLINIC FOR SPECIAL SURGERY000395 8173353668900 12TH AVENUE 03/31/2022 03/19/1998 03/19/1998 02/19/2008 Current
FORT WORTH, TX 76104
THE ENDOSCOPY CENTER007865 9792920033109 PARKING WAY 08/31/2022 08/13/2002 08/13/2002 07/16/2008 Current
LAKE JACKSON, TX 77566
THE ENDOSCOPY CENTER OF
TEXARKANA
008336 90379186571920 MOORES LANE SUITE B 03/31/2022 03/16/2006 03/16/2006 02/01/2008 Current
TEXARKANA, TX 75503
THE HEART & VASCULAR SURGERY
CENTER
130218 97948599223201 UNIVERSITY DR. E, SUITE 430 01/31/2023 01/20/2015 01/20/2015 01/20/2015 Current
BRYAN, TX 77802
Page 35 of 396/9/2021
License Type Code: 6813 - Rank Code: ALL - Status Code(s): 20 - Mdf: ALL
Profession Roster Report
Order By Name
Ambulatory Surgical Center
LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName
THE OCULAR SURGERY CENTER LLC000175 21022221541100 NORTH MAIN AVENUE 05/31/2022 05/08/1987 05/08/1987 05/08/2008 Current
SAN ANTONIO, TX 78212
THE SAN ANTONIO
GASTROENTEROLOGY ENDOSCOPY
CENTER
007982 2102710606520 EAST EUCLID AVENUE 08/31/2021 08/25/2003 08/25/2003 07/21/2011 Current
SAN ANTONIO, TX 78212
THE SURGERY CENTER008190 36157083116370 NORTH NAVARRO 03/31/2023 03/30/2005 03/30/2005 02/17/2011 Current
VICTORIA, TX 77904
THE SURGERY CENTER AT GASLIGHT
MEDICAL PARK
008517 9366378771117 GASLIGHT MEDICAL PARKWAY 06/30/2021 06/04/2007 06/04/2007 06/04/2007 Current
LUFKIN, TX 75904
THE SURGERY CENTER OF
NACOGDOCHES
007163 93656835954948 N E STALLINGS DRIVE 03/31/2022 03/23/2000 03/23/2000 02/22/2008 Current
NACOGDOCHES, TX 759651265
THE SURGICAL CENTER OF MIDLAND000398 43269465172706 WEST CUTHBERT BLDG A 10/31/2021 10/16/1998 10/16/1998 10/14/2019 Current
MIDLAND, TX 79701
THEDA OAKS GASTROENTEROLOGY
AND ENDOSCOPY CENTER LTD
008032 210268010019226 STONEHUE SUITE 103 02/28/2023 02/20/2004 02/20/2004 02/14/2011 Current
SAN ANTONIO, TX 78258
THR/STT ROCKWALL ASC, LLC130262 97272243113140 HORIZON ROAD 10/31/2021 10/12/2015 10/12/2015 10/12/2015 Current
ROCKWALL, TX 75032
THR/STT SOUTHLAKE, ASC LLC130119 8174429300290 MIRON DRIVE 06/30/2022 06/01/2012 07/26/2012 06/01/2012 Current
SOUTHLAKE, TX 76092
TOTAL VASCULAR CARE130337 2105473430215 NORTH SAN SABA STREET SUITE
201
08/31/2021 08/07/2017 08/07/2017 08/07/2017 Current
SAN ANTONIO, TX 78207
TOWNSEN MEMORIAL SURGERY
CENTER - MED CENTER
130492 346701800010005 S MAIN ST 07/31/2022 07/20/2020 07/20/2020 07/28/2020 Current
HOUSTON, TX 77025
TOWNSEN MEMORIAL SURGERY
CENTER - SPRING
130536 34626203003301 SPRING STUEBNER RD #100 05/31/2023 06/01/2021 06/01/2021 05/21/2021 Current
SPRING, TX 77389
TRINITY PARK SURGERY CENTER008609 81737593703501 MATLOCK ROAD 01/31/2022 01/03/2008 01/03/2008 01/03/2008 Current
ARLINGTON, TX 76015
TURTLE CREEK SURGERY CENTER LLC008054 9035921664801 TURTLE CREEK DRIVE 04/30/2023 04/28/2004 04/28/2004 04/17/2007 Current
TYLER, TX 75701
TUSCAN SURGERY CENTER AT LAS
COLINAS LLC
130075 2144421900701 TUSCAN DRIVE SUITE 100 12/31/2022 12/07/2010 01/21/2011 10/26/2020 Current
Page 36 of 396/9/2021
License Type Code: 6813 - Rank Code: ALL - Status Code(s): 20 - Mdf: ALL
Profession Roster Report
Order By Name
Ambulatory Surgical Center
LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName
IRVING, TX 75039
TWIN CREEKS SURGERY CENTER130425 97287284042023 WEST MCDERMOTT DRIVE
SUITE 240
02/28/2023 02/21/2019 02/21/2019 02/21/2019 Current
ALLEN, TX 75013
TYLER CARDIAC AND
ENDOVASCULAR SURGERY CENTER
130221 90353540001767 TROUP HIGHWAY 01/31/2023 01/23/2015 01/23/2015 01/23/2015 Current
TYLER, TX 75701
UH COLLEGE OF OPTOMETRY
SURGERY CENTER
130125 71374371414849 CALHOUN ROAD SUITE 100 09/30/2022 09/26/2012 09/26/2012 09/01/2015 Current
HOUSTON, TX 77204
UNITED MINIMALLY INVASIVE
SURGERY CENTER LLC
130514 21068631872116 BABCOCK RD 12/31/2022 12/11/2020 12/11/2020 12/11/2020 Current
SAN ANTONIO, TX 78229
UNIVERSITY HEALTH SYSTEM
SURGERY CENTER - MEDICAL CENTER
130163 21035820008300 FLOYD CURL DRIVE 10/31/2021 10/01/2013 10/01/2013 10/01/2013 Current
SAN ANTONIO, TX 78229
UNIVERSITY MEDICAL CENTER OF EL
PASO
130503 91520026504642 NORTH MESA 10/31/2022 10/20/2020 10/20/2020 10/20/2020 Current
EL PASO, TX 79912
UNIVERSITY SURGERY CENTER008273 71379548851107 BANKS STREET 09/30/2021 09/15/2005 09/15/2005 08/07/2019 Current
HOUSTON, TX 77006
US CARDIO OF SA LLC130228 21080243506830 HEUERMANN ROAD 03/31/2023 03/02/2015 03/02/2015 03/02/2015 Current
SAN ANTONIO, TX 78256
UT HEALTH AUSTIN AMBULATORY
SURGERY CENTER
130489 51249552371601 TRINITY ST BLDG A SUITE 1.106 06/30/2022 06/25/2020 06/25/2020 06/25/2020 Current
AUSTIN, TX 78712
VALLEY AMBULATORY SURGICAL
CENTER
130264 9568430032901 NORTH JACKSON ROAD 10/31/2021 10/15/2015 10/15/2015 10/15/2015 Current
MCALLEN, TX 78501
VALLEY ENDOSCOPY CENTER007276 95642123243101 SOUTH 77 SUNSHINE STRIP
SUITE B
12/31/2022 01/01/2001 01/01/2001 11/18/2008 Current
HARLINGEN, TX 78550
VICTORIA SURGERY CENTER000396 8008330234105 JAMES COLEMAN DRIVE 10/31/2021 10/22/1997 10/22/1997 09/27/2007 Current
VICTORIA, TX 77904
VIKING PAIN MANAGEMENT LLC130358 83293981791229 CREEKWAY DRIVE SUITE 104 12/31/2021 12/27/2017 12/27/2017 12/27/2017 Current
SUGAR LAND, TX 77478
VIP SURGICAL CENTER130336 93644122331246 NORTH FM 3083 WEST SUITE A 07/31/2021 07/20/2017 07/20/2017 07/20/2017 Current
CONROE, TX 77304
Page 37 of 396/9/2021
License Type Code: 6813 - Rank Code: ALL - Status Code(s): 20 - Mdf: ALL
Profession Roster Report
Order By Name
Ambulatory Surgical Center
LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName
VISION PARK SURGERY CENTER LLC130456 111 VISION PARK BLVD STE. 200 01/31/2022 01/02/2020 01/02/2020 01/02/2020 Current
SHENANDOAH, TX 77394
VISTA SURGERY CENTER008597 43252058884200 ANDREWS HIGHWAY 12/31/2021 12/05/2007 12/05/2007 12/05/2007 Current
MIDLAND, TX 79703
VISTA SURGERY CENTER LLC008654 91559543751400 COMMON DRIVE 05/31/2022 05/21/2008 05/21/2008 05/21/2008 Current
EL PASO, TX 79936
VITAL HEART AND VEIN ASC130432 281446665618450 HWY 59 SUITE 101-B 05/31/2023 05/06/2019 05/06/2019 05/06/2019 Current
HUMBLE, TX 77338
VIVERE AUSTIN SURGERY CENTER130162 51273004712200 PARK BEND DRIVE BUILDING 3
SUITE 200
09/30/2021 09/25/2013 09/25/2013 10/23/2019 Current
AUSTIN, TX 78758
WACO CARDIOLOGY CATH LAB &
SURGERY CENTER
130273 25477608007125 SANGER AVENUE SUITE E 12/31/2021 12/09/2015 12/09/2015 12/16/2019 Current
WACO, TX 76712
WACO GASTROENTEROLOGY
ENDOSCOPY CENTER
007983 2545370306364 RICHLAND WEST CIRCLE SUITE B 09/30/2022 09/03/2003 09/03/2003 08/07/2008 Current
WACO, TX 76712
WALNUT HILL SURGERY CENTER LLC130252 21469262205494 GLEN LAKES DRIVE 08/31/2021 06/15/2015 06/15/2015 11/20/2019 Current
DALLAS, TX 75231
WATER LEAF SURGERY CENTER LTD130302 73780238385200 B DAVIS LANE SUITE 100 09/30/2022 09/02/2016 09/02/2016 09/02/2016 Current
AUSTIN, TX 78749
WATERMERE SURGERY CENTER130280 81743132002815 WEST SOUTHLAKE BLVD SUITE
100
03/31/2022 03/02/2016 03/02/2016 03/29/2016 Current
SOUTHLAKE, TX 76092
WAXAHACHIE SURGERY CENTER130443 4695052020101 YMCA DR 10/31/2022 10/15/2018 10/15/2018 03/02/2020 Current
WAXAHACHIE, TX 75165
WELLNESS AMBULATORY SURGERY
CENTER LLC
130462 46962525002719 VIRGINIA PARKWAY 01/31/2022 01/30/2020 01/30/2020 01/30/2020 Current
MCKINNEY, TX 75071
WEST EL PASO SURGICAL CENTER130478 9153522100820 E REDD ROAD BLDG C 02/28/2022 03/01/2020 03/01/2020 05/06/2020 Current
EL PASO, TX 79912
WEST GRAY CENTER FOR SPECIAL
SURGERY
130263 83238927321355 WEST GRAY STREET 10/31/2021 10/14/2015 10/14/2015 10/14/2015 Current
HOUSTON, TX 77019
WEST HOUSTON SURGERY CENTER000318 7134613547970 CAMPBELL ROAD 12/31/2022 01/01/1986 01/01/1986 11/22/2010 Current
HOUSTON, TX 77024
Page 38 of 396/9/2021
License Type Code: 6813 - Rank Code: ALL - Status Code(s): 20 - Mdf: ALL
Profession Roster Report
Order By Name
Ambulatory Surgical Center
LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName
WESTLAKE HILLS SURGERY CENTER
LLC
130275 51269621914701 BEE CAVE ROAD SUITE 203 01/31/2022 01/04/2016 01/04/2016 01/24/2020 Current
AUSTIN, TX 78746
WICHITA FALLS ENDOSCOPY CENTER
LP
008194 94076190341500 9TH STREET 04/30/2023 04/11/2005 04/11/2005 04/25/2007 Current
WICHITA FALLS, TX 76301
WILLIAMSON SURGERY CENTER130083 5128614200301 SETON PARKWAY SUITE 200 04/30/2023 04/12/2011 04/12/2011 04/12/2011 Current
ROUND ROCK, TX 78665
WILSON SURGICENTER007928 80679221044315 28TH STREET SUITE 2 03/31/2023 03/04/2003 03/04/2003 02/12/2009 Current
LUBBOCK, TX 79410
WINDHAVEN SURGERY CENTER LLC008561 97221274636160 WINDHAVEN PARKWAY, SUITE
220
09/30/2021 09/18/2007 09/18/2007 10/02/2019 Current
PLANO, TX 75093
WISE HEALTH PAIN MANAGEMENT
CENTER AT SOUTHLAKE
130405 81731010653075 WEST SOUTHLAKE BLVD 07/31/2022 07/05/2018 10/04/2018 07/05/2018 Current
SOUTHLAKE, TX 76092
WOMENS SPECIALTY SURGERY
CENTER OF DALLAS LLC
130013 21434567478230 WALNUT HILL LANE SUITE 101 06/30/2023 06/03/2009 06/03/2009 06/03/2011 Current
DALLAS, TX 75231
WOODLANDS ENDOSCOPY CENTER008420 9363218910111 VISION PARK BLVD SUITE 160 10/31/2022 10/26/2006 10/26/2006 09/02/2008 Current
THE WOODLANDS, TX 77384
ZAZEN SURGERY CENTER LLC130421 281869301125230 KINGSLAND BOULEVARD 01/31/2023 01/29/2019 01/29/2019 01/29/2019 Current
KATY, TX 77494
ZENITH SURGERY CENTER PLLC130493 281978224910710 KUYKENDAHL SUITE 160 09/30/2021 09/04/2019 09/04/2019 07/30/2020 Current
THE WOODLANDS, TX 77381
TOTAL - 560
Page 39 of 396/9/2021