SOUTH PLAINS ENDOSCOPY CENTER NPI 1568419323

NPI Information

SOUTH PLAINS ENDOSCOPY CENTER is an endoscopy clinic center in Lubbock, TX. SOUTH PLAINS ENDOSCOPY CENTER NPI is 1568419323. The provider is registered as an organization entity type.

The provider's business location address is:

3610 24TH ST
LUBBOCK, TX
ZIP 79410-014
Phone: (806) 795-1015
Fax: (806) 771-2235

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 45D0882630 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/27/2006 and was last updated on 1/14/2022.

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:

Other Identifiers

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