Sportsortho Surgery Center Llc

LBN: Sportsortho Surgery Center Llc
Sportsortho Surgery Center Llc is an health care organization with primary practice located at 610 Kaimali Dr , Harlingen TX 78550-0233. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Sportsortho Surgery Center Llc can be contacted via phone (956) 371-2243, or through Lidbom, Kim via phone (956) 465-1091.

Contact Information

Primary practice address
610 Kaimali Dr Harlingen TX 78550-0233
Phone: (956) 371-2243
Fax: (855) 594-8131
Website:
Map and Directions
Authorized official contact:
Name: Lidbom, Kim
Phone: (956) 465-1091

Health care specialties

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

Profile Details

NPI number 1407202484
LBN Legal business name Sportsortho Surgery Center Llc
DBA Doing business as
Authorized official Lidbom, Kim
Entity Organization
Organization subpart 1 No
Enumeration date May 10th, 2016
Last updated Jan 23rd, 2024 - about last year

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 1407202484 NPPES
Texas MEDICAID 391353501
Texas Other 45D2145076
Texas Other 130384

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