Wilson Surgicenter

LBN: Patrick D Reeves Mdpa
Wilson Surgicenter is an health care organization with primary practice located at 4315 28Th Street Suite 2, Lubbock TX 79410. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Patrick D Reeves Mdpa can be contacted via phone (806) 792-2104, or through Reeves, Patrick Darren via phone (806) 792-2104.

Contact Information

Primary practice address
4315 28Th Street Suite 2 Lubbock TX 79410
Phone: (806) 792-2104
Fax: (806) 792-2134
Website:
Map and Directions
Authorized official contact:
Name: Reeves, Patrick Darren Doctor of Medicine (MD)
Phone: (806) 792-2104

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X 007928 Texas

Profile Details

NPI number 1093895757
LBN Legal business name Patrick D Reeves Mdpa
DBA Doing business as Wilson Surgicenter
Authorized official Reeves, Patrick Darren Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 17th, 2006
Last updated Jun 30th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093895757 NPPES
Texas MEDICAID 159707201

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