Southwest Surgical Associates

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

808232 Issued in TX

Legal business name

SOUTHWEST SURGICAL ASSOCIATES

Doing business as

Christopher Lynch LLC

Practice address

4216 SW Loop 820
Fort Worth, TX 76109-5350

Phone

(817) 808-8467

Fax

(817) 921-3352

NPI assigned

May 17, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Christopher R Lynch, CST/CSFA/RN

Title

Managing Member

Phone

(817) 808-8467

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Christopher Lynch LLC Doing business as

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

{
    "created_epoch": "1337212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337212800000",
    "number": "1073873519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 101292",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761851292",
            "telephone_number": "817-808-8467",
            "fax_number": "817-921-3352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4216 SW LOOP 820",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761095350",
            "telephone_number": "817-808-8467",
            "fax_number": "817-921-3352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST SURGICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-17",
        "last_updated": "2012-05-17",
        "status": "A",
        "authorized_official_last_name": "LYNCH",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "817-808-8467",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CST/CSFA/RN"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "808232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HEALTHCARE",
            "identifier": "7332427",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2285573",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Christopher Lynch LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Southwestern Baptist Theological Seminary
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• Norman Sowell, PMHNP
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• Registered Nurse in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2012; 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.