Provider Demographics
NPI:1548447097
Name:N. TEXAS LAPAROSCOPIC AND GENERAL SURGERY, PLLC
Entity type:Organization
Organization Name:N. TEXAS LAPAROSCOPIC AND GENERAL SURGERY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HARRY
Authorized Official - Middle Name:F
Authorized Official - Last Name:MEYERS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-566-4040
Mailing Address - Street 1:PO BOX 261284
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75026-1284
Mailing Address - Country:US
Mailing Address - Phone:972-566-4040
Mailing Address - Fax:927-769-0884
Practice Address - Street 1:3608 PRESTON RD
Practice Address - Street 2:SUITE 150
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-8655
Practice Address - Country:US
Practice Address - Phone:972-566-4040
Practice Address - Fax:972-769-0884
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-28
Last Update Date:2013-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX158475701Medicaid
TX0018JQOtherBLUE CROSS
TX158475701Medicaid