New Beginnings Surgical Group, PA

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

J6897 Issued in TX

Legal business name

NEW BEGINNINGS SURGICAL GROUP, PA

Practice address

221 W Colorado Blvd
Pav II Ste#740
Dallas, TX 75208-2363

Phone

(214) 948-0475

Fax

(214) 948-6198

NPI assigned

Feb 6, 2007

Last updated

Mar 4, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Manuel E. Castro, M.D.

Title

President

Phone

(214) 948-0475

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267660800000",
    "number": "1003956657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27258",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799267258",
            "telephone_number": "214-948-0475",
            "fax_number": "214-948-6198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 W COLORADO BLVD",
            "address_2": "PAV II STE#740",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752082363",
            "telephone_number": "214-948-0475",
            "fax_number": "214-948-6198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW BEGINNINGS SURGICAL GROUP, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2010-03-04",
        "status": "A",
        "authorized_official_last_name": "CASTRO",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-948-0475",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "J6897",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "00Z666",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1973307",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "00X705",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "190066401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Surgery Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2010; 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.