BLUEBONNET SURGICAL ASSOCIATES, P,A, (NPI# 1982866257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982866257 |
| Entity Type | Organization |
| Organization Name | BLUEBONNET SURGICAL ASSOCIATES, P,A, |
| Other Organization Name | LAUREL HUMPHREY, M.D.,P.A. |
| Practice Address |
3430 W Wheatland Rd Suite 407 Dallas TX 75237-3446 |
| Practice Telephone | 9722839900 |
| Practice Fax Number | 9722839905 |
| Mailing Telephone | 9722839900 |
| Mailing Fax Number | 9722839905 |
| Enumeration Date | 2008-06-27 |
| Last Update Date | 2011-05-11 |
| Authorized Official Name | DR. LAUREL L HUMPHREY POWELL (PRESIDENT) |
| Authorized Official Telephone | 9722839900 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | M1773 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 184272601 | 05 |
| Other Name | Type Code |
|---|---|
| Laurel Humphrey, M.D.,P.A. | Other Name - Individual/Organization |
| Street Address |
3430 W WHEATLAND RD SUITE 407 |
| City | DALLAS |
| State | TX |
| Zip Code | 75237-3446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477557718 | Jimmy Kien Teh Lu | Family Medicine | 3430 W Wheatland Rd, Ste 119, Dallas, TX 75237-3446 | 2005-06-01 |
| 1427405646 | Sylvia Blaszczyk | Physician Assistant | 3430 W Wheatland Rd, Dallas, TX 75237-3446 | 2016-05-17 |
| 1780925156 | Joyce T Hohn, Md Pa | Internal Medicine | 3430 W Wheatland Rd, Ste 221, Dallas, TX 75237-3446 | 2013-03-11 |
| 1902140262 | Manuel Tellez, D.o., P.a. | Internal Medicine | 3430 W Wheatland Rd, Suite 407, Dallas, TX 75237-3446 | 2012-11-26 |
| 1770839631 | Ali Shams-hakimi | Podiatrist | 3430 W Wheatland Rd, Ste 104, Dallas, TX 75237-3446 | 2012-07-30 |
| 1093085292 | Van A Johnson Jr Md Pllc | Surgery | 3430 W Wheatland Rd, Ste 416, Dallas, TX 75237-3446 | 2012-01-04 |
| 1811210693 | Surgical Specialists of South Dallas, Pa | Surgery | 3430 W Wheatland Rd, Suite 407, Dallas, TX 75237-3446 | 2010-03-08 |
| 1609000447 | Suresh Raheja M.d Pa | Internal Medicine | 3430 W Wheatland Rd, 118, Dallas, TX 75237-3446 | 2009-05-07 |
| 1568603850 | Jimmy K. Lu, M.d.& Associates | Family Medicine | 3430 W Wheatland Rd, Suite 119, Dallas, TX 75237-3446 | 2009-03-16 |
| 1922283506 | Saleemah Yasmeen Fahmi | Internal Medicine | 3430 W Wheatland Rd, Pob I Ste#219, Dallas, TX 75237-3446 | 2008-01-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184223372 | Advanced Medical Services Associates, LLC | Clinic/Center | Advanced Urgent Care Center, 3690 W Wheatland Rd, Suite 150, Dallas, TX 75237 | 2020-10-20 |
| 1225520455 | Ethan William Gingras | Nurse Practitioner | 39769 I-20, Dallas, TX 75237 | 2018-06-04 |
| 1376031450 | Maria North | Student in an Organized Health Care Education/Training Program | Methodist Charlton Medical Center, 3500 W. Wheatland Road, Dallas, TX 75237 | 2018-04-25 |
| 1639671118 | Arquimedes Hernandez Perez | Registered Nurse | 6010 S Westmoreland Rd 423, Dallas, TX 75237 | 2018-03-01 |
| 1275055832 | Tanaka Transport | Non-emergency Medical Transport (VAN) | 4353 Gannon Ln Ste 103-a, Dallas, TX 75237 | 2017-07-14 |
| 1730620543 | Joshua Vong | Physical Therapist | 3107 W. Camp Wisdom Road Suite 131, Dallas, TX 75237 | 2017-03-13 |
| 1821537507 | Votka Sbong | Chiropractor | 2525 W. Wheatland Rd. Ste 230, Dallas, TX 75237 | 2017-02-15 |
| 1508304957 | Archana Srivastava Md Pa | Internal Medicine | 4305 W. Wheatland Road, Suite 130, Dallas, TX 75237 | 2017-02-06 |
| 1295272045 | Stafford Family Enterprises LLC | Dentist | 3306 West Camp Wisdom, Suite 100, Dallas, TX 75237 | 2017-01-31 |
| 1891170585 | Philip James Tyler | Chiropractor | 7125 Marvin D Love Fwy Ste 107, Dallas, TX 75237 | 2015-07-23 |
| Find all providers in zip 75237 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| 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; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043824857 | Oasis Surgical Assistants LLC | Surgery | 170 Blackberry Run Dr, Dallas, GA 30132-1174 | 2020-08-31 |
| 1609381607 | Andy Hall | Surgery | 821 Peavy Rd, Dallas, TX 75218-2151 | 2017-12-12 |
| 1215389234 | Tayyaba Maqbool Malik | Surgery | Ut Southwestern Medical Center 5323 Blvd, Dallas, TX 75390-0001 | 2016-07-02 |
| 1629435516 | Premier Health Specialists | Surgery | 10740 N Central Expy Ste 710, #710, Dallas, TX 75231-2161 | 2016-01-22 |
| 1679948715 | Tiffany Horrigan | Surgery | 5323 Harry Hines Blvd # Mc9159, Dallas, TX 75390-7208 | 2015-12-01 |
| 1184007460 | Brandon Levy | Surgery | 2140 Medical District Dr, 2067, Dallas, TX 75235-8077 | 2015-07-03 |
| 1679951511 | Jamaal Louis Benjamin | Surgery | 751 S Cesar Chavez Blvd, Dallas, TX 75201-5821 | 2015-05-12 |
| 1114314655 | Rachel Cox | Surgery | 5323 Harry Hines Blvd Dept of Surgery, Dallas, TX 75390-7208 | 2015-04-22 |
| 1811304173 | Mirza Baig Md Pllc | Surgery | 9101 Lbj Freeway, Ste 710, Dallas, TX 75243-1912 | 2014-07-18 |
| 1861804973 | Michael Sutker, M.d., P.a. | Surgery | 7777 Forest Ln Ste A214, Dallas, TX 75230-2556 | 2014-05-22 |
| Find all providers in DALLAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.