LONE STAR ENDOSCOPY CENTER LLC NPI 1154844553

NPI Information

NPI: 1154844553
Provider Name: LONE STAR ENDOSCOPY CENTER, LLC

Doing Business As: LONE STAR ENDOSCOPY SOUTHLAKE

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

Specialization: Ambulatory Surgical

Address:
515 S NOLEN DR
SOUTHLAKE, TX
ZIP 76092
Phone: (817) 912-1999
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LONE STAR ENDOSCOPY CENTER, LLC is an ambulatory surgical clinic center in Southlake, TX. LONE STAR ENDOSCOPY CENTER, LLC NPI is 1154844553. The provider is registered as an organization entity type.
The provider Is Doing Business As Lone Star Endoscopy Southlake.

The provider's business location address is:

515 S NOLEN DR
SOUTHLAKE, TX
ZIP 76092-167
Phone: (817) 912-1999

The provider's authorized official is Peter Blach .
The authorized official title is Officer/authorized Official and has the following contact phone number (713) 343-0832.

The CLIA number assigned to this NPI record is 45D2137481 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/18/2017 and was last updated on 11/10/2020.

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

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

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