Provider Demographics
NPI:1104970888
Name:AMERICAN INSTITUTE OF GASTRIC BANDING LTD
Entity type:Organization
Organization Name:AMERICAN INSTITUTE OF GASTRIC BANDING LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CBO MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ERICA
Authorized Official - Middle Name:K
Authorized Official - Last Name:COLLIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-389-7362
Mailing Address - Street 1:630 N COIT RD
Mailing Address - Street 2:SUITE 2200
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080-3700
Mailing Address - Country:US
Mailing Address - Phone:972-331-9503
Mailing Address - Fax:
Practice Address - Street 1:630 N COIT RD
Practice Address - Street 2:SUITE 2200
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-3700
Practice Address - Country:US
Practice Address - Phone:972-331-9503
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-22
Last Update Date:2008-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty