Active NPI
Master Center for Laparoscopic Surgery-Texas,LLP
- Surgery Physician
- Southlake, TX
National Provider Identifier
1568569838
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- MASTER CENTER FOR LAPAROSCOPIC SURGERY-TEXAS,LLP
- Practice address
- 1545 E Southlake Blvd Ste 140
Southlake, TX 76092-6464 - Phone
- (817) 748-0200
- Fax
- (817) 749-0204
- NPI assigned
- Sep 20, 2006
- Organization subpart
- Yes
- Parent organization
- MASTER CENTER FOR MINIMALLY INVASIVE SURGERY
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert W Sewell, M.D.
- Title
- President
- Phone
- (817) 748-0200
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
1545 E Southlake Blvd Ste 140
Southlake, TX 76092-6464
Mailing address
1545 E Southlake Blvd Ste 140
Southlake, TX 76092-6464
Phone (817) 748-0200
National Provider Directory
National Provider Directory- Part of
- Robert Sewell MD PA
Locations
1604 Hospital Pkwy
Ste 101
Bedford, TX 76022
Phone (817) 267-4555
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgery Physician
- Southlake, TX
- NPI 1225028889
-
- Specialist
- Southlake, TX
- NPI 1356393789
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1205798400000",
"number": "1568569838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1545 E SOUTHLAKE BLVD STE 140",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760926464",
"telephone_number": "817-748-0200",
"fax_number": "817-749-0204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1545 E SOUTHLAKE BLVD STE 140",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760926464",
"telephone_number": "817-748-0200",
"fax_number": "817-749-0204"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MASTER CENTER FOR LAPAROSCOPIC SURGERY-TEXAS,LLP",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MASTER CENTER FOR MINIMALLY INVASIVE SURGERY",
"enumeration_date": "2006-09-20",
"last_updated": "2008-03-18",
"status": "A",
"authorized_official_last_name": "SEWELL",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "817-748-0200",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southlake, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.