Lubbock Plastic Surgery Center, LP

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

LUBBOCK PLASTIC SURGERY CENTER, LP

Practice address

10105 Quaker Ave
Lubbock, TX 79424-7380

Phone

(806) 797-6398

Fax

(806) 797-6399

NPI assigned

May 26, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Chad Ricky Southard, FACHE, FHFMA

Title

Administrator

Phone

(806) 797-6398

Specialties & licenses 1

Addresses

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Edward Daniele, M.D.

  • Surgery Physician
  • Lubbock, TX
  • NPI 1689084212
  NPD (past)
• Heidi Michele Jeffreys, PA-C

  • Physician Assistant
  • Lubbock, TX
  • NPI 1356307813
  NPD (past)
• Robert Clark Mooty, MD

  • Plastic and Reconstructive Surgery Physician
  • Lubbock, TX
  • NPI 1730383423
  NPD (past)
• Robert Preston Schmid, M.D.

  • Plastic Surgery Physician
  • Lubbock, TX
  • NPI 1134122518
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1464220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464220800000",
    "number": "1003264425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10105 QUAKER AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794247380",
            "telephone_number": "806-797-6398",
            "fax_number": "806-797-6399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10105 QUAKER AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794247380",
            "telephone_number": "806-797-6398",
            "fax_number": "806-797-6399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUBBOCK PLASTIC SURGERY CENTER, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-26",
        "last_updated": "2016-05-26",
        "status": "A",
        "authorized_official_last_name": "SOUTHARD",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "RICKY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "806-797-6398",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "FACHE, FHFMA"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lubbock Ophthalmology Associate, P.a.
• Lubbock Orthopedic Associates, P.a.
• Lubbock Pediatric Dentistry PLLC
• Lubbock Physical Therapy, Inc
• Lubbock Plastic Surgery Associates PA
• Lubbock Primary Care, PLLC
• Lubbock Psychiatry, PLLC.
• Lubbock Radiology LP
• Lubbock Regional Mental Health Mental Retardation
• Lubbock Regional Mental Health Mental Retardation

• Ambulatory Surgical Clinic/Center in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Ambulatory Surgical Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.