Lonestar Ambulatory Surgical Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

130049 Issued in TX

Legal business name

LONESTAR AMBULATORY SURGICAL CENTER

Practice address

2201 Westgate PLZ
Grapevine, TX 76051-8037

Phone

(817) 410-2030

Fax

(817) 865-1969

NPI assigned

Jan 20, 2010

Organization subpart

No

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

Authorized official

Name

Phillips Kirk Labor, MDNPI 1528011244

Title

MD/Owner

Phone

(817) 410-2030

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Listed as

Lonestar Ambulatory Surgical CenterCCN 45C0001511

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Phillips Kirk Labor, M.D.

  • Ophthalmology Physician
  • Grapevine, TX
  • NPI 1528011244
  NPD Authorized official

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

{
    "created_epoch": "1263945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592784000000",
    "number": "1679804355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 WESTGATE PLZ",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760518037",
            "telephone_number": "817-416-7988",
            "fax_number": "817-416-7976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 WESTGATE PLZ",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760518037",
            "telephone_number": "817-410-2030",
            "fax_number": "817-865-1969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONESTAR AMBULATORY SURGICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-20",
        "last_updated": "2020-06-22",
        "certification_date": "2020-06-22",
        "status": "A",
        "authorized_official_last_name": "LABOR",
        "authorized_official_first_name": "PHILLIPS",
        "authorized_official_middle_name": "KIRK",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "817-410-2030",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": "130049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Guertin Lipson, LPC-ASSOCIATE
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• Maribel Llanas
• Raul Mauricio Llanos, DO
• Destinee Logan, OTD, OTR
• April Long
• Gregory Long, LCDC
• Kristina Elaine Longo, FNP-C
• Karen Lorince
• Love to Hear Again LLC

• Ambulatory Surgical Clinic/Center in Grapevine, TX
• Providers in Grapevine, TX by specialty
• Ambulatory Surgical Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.