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PERMIAN BASIN SURGICAL CARE CENTER LLC NPI 1275647901


NPI Information

NPI: 1275647901
Provider Name: PERMIAN BASIN SURGICAL CARE CENTER, LLC

Doing Business As: VISTA SURGERY CENTER

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 45D0660796

Address:
4200 ANDREWS HWY
MIDLAND, TX
ZIP 79703
Phone: (432) 520-5888
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PERMIAN BASIN SURGICAL CARE CENTER, LLC is an ambulatory surgical clinic center in Midland, TX. PERMIAN BASIN SURGICAL CARE CENTER, LLC NPI is 1275647901. The provider is registered as an organization entity type.
The provider Is Doing Business As Vista Surgery Center.

The provider's business location address is:

4200 ANDREWS HWY
MIDLAND, TX
ZIP 79703
Phone: (432) 520-5888
Fax: (432) 520-5889

The provider's authorized official is Jennifer B. Baldock .
The authorized official title is Officer And Authorized Official and has the following contact phone number (615) 234-5900.

The CLIA number assigned to this NPI record is 45D0660796 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/19/2006 and was last updated on 3/25/2022.


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
1261QA1903XClinic/CenterAmbulatory Surgical007919TEXASYes

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

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