RUSHLAND PARK SURGICENTER NPI 1023122876

NPI Information

NPI: 1023122876
Provider Name: RUSHLAND PARK SURGICENTER

Former Legal Business Name: LUBBOCK PLASTIC SURGERY CENTER

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
4404 6TH ST
LUBBOCK, TX
ZIP 79416
Phone: (806) 791-3377
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RUSHLAND PARK SURGICENTER is an ambulatory surgical clinic center in Lubbock, TX. RUSHLAND PARK SURGICENTER NPI is 1023122876. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Lubbock Plastic Surgery Center.

The provider's business location address is:

4404 6TH ST
LUBBOCK, TX
ZIP 79416-732
Phone: (806) 791-3377
Fax: (806) 791-3378

The provider's authorized official is C Michel Oliva .
The authorized official title is Owner/medical Director and has the following contact phone number (806) 791-3377.

The enumeration date for this NPI number is 8/18/2006 and was last updated on 5/17/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000HH1371	OTHER	TEXAS	BLUE CRSS & BLUE SHIELD
2	ASC371	MEDICARE PIN	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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