Organization Active NPI

First Nobilis Surgical Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Bellaire, TX
National Provider Identifier
1902200785
Registry record updated Oct 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
130207 Issued in TX
Legal business name
FIRST NOBILIS SURGICAL CENTER, LLC
Practice address
411 N 1St St
Bellaire, TX 77401-4027
Phone
(713) 665-1111
Fax
(713) 355-8069
NPI assigned
Oct 22, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2014

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

Authorized official

Name
Mr. Andy Chen
Title
Chief Financial Officer
Phone
(713) 665-1111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 130207 TX Primary

Addresses

Primary practice location

411 N 1St St
Bellaire, TX 77401-4027

Mailing address

4120 Southwest Fwy
Suite 150
Houston, TX 77027-7339
Phone (713) 665-1111

Other names 1

  • First Street Surgical Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1413936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413936000000",
    "number": "1902200785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4120 SOUTHWEST FWY",
            "address_2": "SUITE 150",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770277339",
            "telephone_number": "713-665-1111",
            "fax_number": "713-355-8069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 N 1ST ST",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774014027",
            "telephone_number": "713-665-1111",
            "fax_number": "713-355-8069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST NOBILIS SURGICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-22",
        "last_updated": "2014-10-22",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "ANDY",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "713-665-1111",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": "130207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "First Street Surgical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bellaire, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2014; 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.