Provider Demographics
NPI:1639498454
Name:NEW VISTA HEALTH, LLC
Entity Type:Organization
Organization Name:NEW VISTA HEALTH, LLC
Other - Org Name:PINEY POINT SURGERY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:INDERBIR
Authorized Official - Middle Name:S
Authorized Official - Last Name:GILL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-782-8279
Mailing Address - Street 1:2500 FONDREN RD
Mailing Address - Street 2:STE 350
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77063-2308
Mailing Address - Country:US
Mailing Address - Phone:713-782-8279
Mailing Address - Fax:713-782-3139
Practice Address - Street 1:2500 FONDREN RD
Practice Address - Street 2:STE 350
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77063-2308
Practice Address - Country:US
Practice Address - Phone:713-782-8279
Practice Address - Fax:713-782-3139
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-18
Last Update Date:2010-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX130046261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical