VIRTUOSO SURGERY CENTER NPI 1376942987

NPI Information

NPI: 1376942987
Provider Name: VIRTUOSO SURGERY CENTER
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 45D2081162

Address:
415 E SOUTHLAKE BLVD STE 202
SOUTHLAKE, TX
ZIP 76092
Phone: (817) 416-8080
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VIRTUOSO SURGERY CENTER is an ambulatory surgical clinic center in Southlake, TX. VIRTUOSO SURGERY CENTER NPI is 1376942987. The provider is registered as an organization entity type.

The provider's business location address is:

415 E SOUTHLAKE BLVD STE 202
SOUTHLAKE, TX
ZIP 76092-280
Phone: (817) 416-8080
Fax: (817) 421-8327

The provider's authorized official is Sacha Obaid .
The authorized official title is President and has the following contact phone number (817) 416-8080.

The CLIA number assigned to this NPI record is 45D2081162 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/19/2014 and was last updated on 8/19/2014.

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

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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