1043328198 NPI number — WESTLAKE SURGICAL, L.P.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1043328198 NPI number — WESTLAKE SURGICAL, L.P.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
WESTLAKE SURGICAL, L.P.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
THE HOSPITAL AT WESTLAKE MEDICAL CENTER
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1043328198
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/31/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5656 BEE CAVE RD
Provider Second Line Business Mailing Address:
SUITE M-302
Provider Business Mailing Address City Name:
WEST LAKE HILLS
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
78746-5280
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
512-327-0000
Provider Business Mailing Address Fax Number:
512-329-6688

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5656 BEE CAVE RD
Provider Second Line Business Practice Location Address:
SUITE M-302
Provider Business Practice Location Address City Name:
WEST LAKE HILLS
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78746-5280
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
512-327-0000
Provider Business Practice Location Address Fax Number:
512-329-6688
Provider Enumeration Date:
08/28/2006

Additional Information

Authorized Official

Authorized Official Last Name:
MILLER
Authorized Official First Name:
DON
Authorized Official Middle Name:
RIP
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
512-697-3600

Provider Taxonomy Codes

  • Taxonomy code: 282N00000X , with the licence number:  008228 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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