Provider Demographics
NPI:1508745324
Name:BLUEBONNET SURGICAL CENTER LLC
Entity type:Organization
Organization Name:BLUEBONNET SURGICAL CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ERICK
Authorized Official - Middle Name:ROY
Authorized Official - Last Name:SANCHEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:409-772-8119
Mailing Address - Street 1:5049 BLUEBONNET BLVD
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70809-3084
Mailing Address - Country:US
Mailing Address - Phone:225-334-8040
Mailing Address - Fax:225-269-5146
Practice Address - Street 1:5049 BLUEBONNET BLVD
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70809-3084
Practice Address - Country:US
Practice Address - Phone:225-334-8040
Practice Address - Fax:225-269-5146
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BLUEBONNET SURGICAL CENTER LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-08-27
Last Update Date:2025-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty