Provider Demographics
NPI:1417943911
Name:FOUNDATION SURGERY AFFILIATE OF NEW BRAUNFELS, L.L.P.
Entity Type:Organization
Organization Name:FOUNDATION SURGERY AFFILIATE OF NEW BRAUNFELS, L.L.P.
Other - Org Name:NEW BRAUNFELS SURGICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CARRYE
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANZEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:830-643-8602
Mailing Address - Street 1:1738 E COMMON ST
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-3156
Mailing Address - Country:US
Mailing Address - Phone:830-643-8600
Mailing Address - Fax:830-643-0444
Practice Address - Street 1:1738 E COMMON ST
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-3156
Practice Address - Country:US
Practice Address - Phone:830-643-8600
Practice Address - Fax:830-643-0444
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX008096261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXASC222Medicare ID - Type Unspecified