Basic Information
| Provider Information | |||||||||
| NPI: | 1013967264 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | LAP SURGERY GROUP, PC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2200 MURPHY AVE | ||||||||
| Address2: | |||||||||
| City: | NASHVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 372031826 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6153425820 | ||||||||
| FaxNumber: | 6153425816 | ||||||||
| Practice Location | |||||||||
| Address1: | 2200 MURPHY AVE | ||||||||
| Address2: | |||||||||
| City: | NASHVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 372031826 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6153425820 | ||||||||
| FaxNumber: | 6153425816 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/10/2006 | ||||||||
| LastUpdateDate: | 09/16/2009 | ||||||||
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| AuthorizedOfficialLastName: | HOUSTON | ||||||||
| AuthorizedOfficialFirstName: | HUGH | ||||||||
| AuthorizedOfficialMiddleName: | LEAVELL | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 6153425820 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
| AuthorizedOfficialNameSuffix: | III | ||||||||
| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208600000X | 35302 | TN | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Surgery |
No ID Information.