1679951958 NPI number — ALLIANCE SURGICAL ASSISTING, LLC

Table of content: DAVID JAMES HIBBERT MD (NPI 1689200545)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1679951958 NPI number — ALLIANCE SURGICAL ASSISTING, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ALLIANCE SURGICAL ASSISTING, LLC
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:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
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Provider Other Credential Text:
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NPI Number Information

NPI Number:
1679951958
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/11/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
13000 CHISHOLM RANCH DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HASLET
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
76052-1349
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
817-371-8335
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
13000 CHISHOLM RANCH DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HASLET
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
76052-1349
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
682-465-4936
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/07/2015

Additional Information

Authorized Official

Authorized Official Last Name:
SAPIT
Authorized Official First Name:
MATTHEW
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
682-465-4936

Provider Taxonomy Codes

  • Taxonomy code: 363AS0400X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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