| NPI | 1063588804 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2006-11-24 |
| Last Updated | 2018-08-17 |
| Authorized Official | David Syn President Phone: 8066875670 |
| Mailing Address | 3805 22nd Pl Lubbock, TX 79410-1117 United States Phone: (806) 687-5670 | Fax: (806) 687-5673 📍 View Map |
| Primary Practice Address | 3805 22nd Pl Lubbock, TX 79410 United States Phone: (806) 687-5670 | Fax: (806) 687-5673 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | TX | 159948201 | — |
| MEDICAID | NM | 201041925 | — |
| MEDICAID | NM | 75136350 | — |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 208600000X – Surgery | TX | L5583 |
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About NPI 1063588804
Advanced Bariatric Surgery Center is an organization registered in the CMS NPPES NPI Registry with NPI number 1063588804. The primary specialty listed is Surgery. The organization is located in Lubbock, TX. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-11-24. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1063588804?
NPI 1063588804 belongs to Advanced Bariatric Surgery Center, a Surgery in Lubbock, TX. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1063588804 active?
The current status of NPI 1063588804 in the NPPES registry is Active. The record was last updated on 2018-08-17.
What specialty is NPI 1063588804?
NPI 1063588804 is classified under the taxonomy Surgery. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1063588804?
You can verify NPI 1063588804 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1063588804?
The primary practice address on file for NPI 1063588804 is 3805 22nd Pl, Lubbock, TX 79410. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1063588804 issued?
NPI 1063588804 was first issued (enumerated) on 2006-11-24. The NPPES record was last updated on 2018-08-17.
Practice Location Map
Advanced Bariatric Surgery Center is located at 3805 22nd Pl, Lubbock, TX. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Advanced Bariatric Surgery Center. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1063588804. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Surgery | L5583 | TX |