Surgical Resolutions PLLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

J3706 Issued in TX

Legal business name

SURGICAL RESOLUTIONS PLLC

Practice address

921 York Dr
Desoto, TX 75115-2043

Phone

(972) 283-2244

Fax

(972) 283-2246

NPI assigned

Apr 16, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Kevin Wayne Niblett, M.D.

Title

Physician

Phone

(972) 283-2244

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1239840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245110400000",
    "number": "1639312895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 YORK DR",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152043",
            "telephone_number": "972-283-2244",
            "fax_number": "972-283-2246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 YORK DR",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152043",
            "telephone_number": "972-283-2244",
            "fax_number": "972-283-2246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL RESOLUTIONS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-16",
        "last_updated": "2009-06-16",
        "status": "A",
        "authorized_official_last_name": "NIBLETT",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "972-283-2244",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "TX",
            "license": "J3706",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105633503",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• T4T Services

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2009; 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.