Provider Demographics
NPI:1114789211
Name:HUB CITY SURGERY CENTER, LLC
Entity Type:Organization
Organization Name:HUB CITY SURGERY CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RUBEN
Authorized Official - Middle Name:
Authorized Official - Last Name:VILLA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:806-790-1165
Mailing Address - Street 1:2232 INDIANA AVE STE 1
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79410-2147
Mailing Address - Country:US
Mailing Address - Phone:806-395-4707
Mailing Address - Fax:806-375-5168
Practice Address - Street 1:2232 INDIANA AVE STE 1
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79410-2147
Practice Address - Country:US
Practice Address - Phone:806-395-4705
Practice Address - Fax:806-375-5168
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-25
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical