LONESTAR AMBULATORY SURGICAL CENTER – NPI #1679804355
Clinic/Center

LONESTAR AMBULATORY SURGICAL CENTER is an AHC clinic located in GRAPEVINE, TX. NPPES has assigned the NPI number 1679804355 to LONESTAR AMBULATORY SURGICAL CENTER on January 20, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 6 years ago on Jun 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LONESTAR AMBULATORY SURGICAL CENTER below.

NPI Profile for
LONESTAR AMBULATORY SURGICAL CENTER

NPI Number
1679804355
Enumeration Date

(more than 16 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LONESTAR AMBULATORY SURGICAL CENTER
Primary location
2201 WESTGATE PLZ
GRAPEVINE, TX 76051-8037
Phone: (817) 410-2030 Fax: (817) 865-1969
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
PHILLIPS LABOR
MD/OWNER
Phone: (817) 410-2030
Updated
Certification Date
Jun 22, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)		 TX 130049

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.