Organization Active NPI

Master Center for Laparoscopic Surgery-Texas,LLP

  • Surgery Physician
  • Southlake, TX
National Provider Identifier
1568569838
Registry record updated Mar 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
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 SURGERYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 18, 2008

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.NPI 1225028889
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)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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.

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.

Verify at the official NPI Registry.