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ADVANCED LAPAROENDOSCOPIC SURGERY PLLC NPI 1578500815


NPI Information

NPI: 1578500815
Provider Name: ADVANCED LAPAROENDOSCOPIC SURGERY, PLLC
Classification: Surgery - 2086S0127X
Entity Type: Organization

Specialization: Trauma Surgery

CLIA Number: 45D0491936

Address:
3005 WEST LOOP S
SUITE 225
HOUSTON, TX
ZIP 77027
Phone: (713) 892-5478
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ADVANCED LAPAROENDOSCOPIC SURGERY, PLLC is a trauma surgery surgery in Houston, TX. The provider is trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. ADVANCED LAPAROENDOSCOPIC SURGERY, PLLC NPI is 1578500815. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3005 WEST LOOP S
SUITE 225
HOUSTON, TX
ZIP 77027-100
Phone: (713) 892-5478
Fax: (713) 622-8346

The provider's authorized official is Phu M Do .
The authorized official title is President and has the following contact phone number (713) 245-9183.

The CLIA number assigned to this NPI record is 45D0491936 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/2/2006 and was last updated on 1/22/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12086S0127XSurgeryTrauma SurgeryL2224TEXASYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1PENDINGMEDICARE ID-TYPE UNSPECIFIEDTEXASMEDICARE PENDING
2PENDINGMEDICAIDTEXAS
3=========OTHERTEXASTAX ID

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: 4/28/2024

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