PLUM CREEK SURGERY CENTER LLC NPI 1487386124

NPI Information

NPI: 1487386124
Provider Name: PLUM CREEK SURGERY CENTER, LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 45D2264262

Address:
4214 BENNER
KYLE, TX
ZIP 78640
Phone: (737) 787-1882
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PLUM CREEK SURGERY CENTER, LLC is an ambulatory surgical clinic center in Kyle, TX. PLUM CREEK SURGERY CENTER, LLC NPI is 1487386124. The provider is registered as an organization entity type.

The provider's business location address is:

4214 BENNER
KYLE, TX
ZIP 78640-232
Phone: (737) 787-1882
Fax: (737) 787-1897

The provider's authorized official is Alan D Silberberg .
The authorized official title is Md/owner and has the following contact phone number (737) 787-1882.

The CLIA number assigned to this NPI record is 45D2264262 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/30/2022 and was last updated on 6/30/2022.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	130573	OTHER	TEXAS	LICENSE

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: 5/5/2024

NPI Synchronization or Removal

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