MD1961 LLC NPI 1780150995

NPI Information

  • NPI: 1780150995
  • Provider Name: MD1961 LLC
  • Classification: Surgery - 208600000X
  • Entity Type: Organization
  • Address: 4201 GARTH RD STE 301
    BAYTOWN, TX
    ZIP 77521
  • Phone: (281) 422-9811

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NPI Details

MD1961 LLC is a surgery in Baytown, TX. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. MD1961 LLC NPI is 1780150995. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4201 GARTH RD STE 301
BAYTOWN, TX
ZIP 77521-156
Phone: (281) 422-9811
Fax: (281) 420-1262

The provider's authorized official is Carla Pina .
The authorized official title is Owner and has the following contact phone number (281) 422-9811.

The enumeration date for this NPI number is 10/16/2018 and was last updated on 10/16/2018.

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
1208600000XSurgeryYes

What is NPI?

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This page was last updated on: 3/30/2025

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