LAKE TRAVIS SURGICAL ASSOCIATES PA – NPI #1942483128
Clinic/Center

LAKE TRAVIS SURGICAL ASSOCIATES PA is an AHC clinic located in HOUSTON, TX. NPPES has assigned the NPI number 1942483128 to LAKE TRAVIS SURGICAL ASSOCIATES PA on December 11, 2007. 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 17 years ago on Dec 23, 2008. 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 LAKE TRAVIS SURGICAL ASSOCIATES PA below.

NPI Profile for
LAKE TRAVIS SURGICAL ASSOCIATES PA

NPI Number
1942483128
Enumeration Date

(more than 18 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
LAKE TRAVIS SURGICAL ASSOCIATES PA
Primary location
9300 KIRBY DRIVE
SUITE 100
HOUSTON, TX 77054
Phone: (832) 201-5157 Fax: (832) 201-5167
Mailing address
PO BOX 1759
DEPT 765
HOUSTON, TX 77251-1759
Phone: (832) 201-5157 Fax: (832) 201-5167
Organization Subpart
No
Authorized Official
JODIE ELLIS
BUSINESS OFFICE MANAGER
Phone: (832) 201-5157
Updated
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)

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.