Charles Victor Bayouth in Lubbock - Surgery

Charles Victor Bayouth - NPI 1952304354

Charles Victor Bayouth is a Surgery in Lubbock, Texas. Charles Victor Bayouth practices all healthcare services and medical treatments related to Surgery. The NPI Number for Charles Victor Bayouth is 1952304354. The last update date is 2021-11-09.

Charles Victor Bayouth's current location address is 3509 22nd St, Lubbock, Texas. You can contact this provider via phone number 8067997928 and fax number 8067888500. The mailing address for Charles Victor Bayouth is 3509 22nd St, Lubbock, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Charles Victor Bayouth
Address 3509 22nd St, Lubbock, Texas
Phone Number 8067997928
Fax Number 8067888500
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1952304354
Provider Enumeration Date 2005-05-31
Last Updated Date 2021-11-09

Provider Mailing Address Detail

Address 3509 22nd St
City Lubbock
State Texas (TX)
Post Code 7941013070
Phone Number 8067997928
Fax Number 8067888500

Provider's Primary Taxonomy Detail

Speciality Surgery
Taxonomy 208600000X
Licence No K5255
Definition:
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue;

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
150430003 TX --

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FAQs about Charles Victor Bayouth

What is the Charles Victor Bayouth's unique identification number?

The Charles Victor Bayouth has been assigned the NPI (National Provider Identifier) Number 1952304354 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete address where Charles Victor Bayouth is physically located?

The Charles Victor Bayouth is situated at the following address: 3509 22Nd St, Lubbock, TX 7941013070.

What is Charles Victor Bayouth's specialized field of practice, and what is the corresponding taxonomy classification code?

The Charles Victor Bayouth's area of specialization is Surgery, and the corresponding taxonomy code that categorizes this field of practice is 208600000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1952304354 to Charles Victor Bayouth?

The Charles Victor Bayouth received its 1952304354 assignment from the Centers for Medicare & Medicaid Services on 2005-05-31.

When was the Charles Victor Bayouth's information last updated?

The Charles Victor Bayouth's information was last updated on 2021-11-09.

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