Organization
NORTHSTAR SURGICAL CENTER LP
Active
Other names
NorthStar Surgical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLIFFORD G ADLERZ (CEO & PRESIDENT)
(615) 234-5900
Entity
Organization
Contact information
Practice address
4640 N LOOP 289, LUBBOCK, TX 79416-2423
(806) 761-4880
(806) 749-5944
Mailing address
4640 N LOOP 289, LUBBOCK, TX 79416-2423
(806) 761-4880
(806) 749-5944
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
ASC007292
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142949003
—
TX
01
—
49-0005111
RAILROAD MEDICARE
TX
01
—
HH1557
BLUE CROSS/BLUE SHIELD
TX
Enumeration date
06/15/2005
Last updated
01/22/2014
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