FOUNDATION SURGERY AFFILIATE OF NACOGDOCHES LLC
NPI 1649252883
Clinic/Center - Ambulatory Surgical in Nacogdoches, TX

Q: What is Foundation Surgery Affiliate Of Nacogdoches LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Active since November 15, 2005CLIA 45D0979523 · Waiver

3610 N UNIVERSITY DR, NACOGDOCHES, TX 75965(936) 560-9599(936) 560-6933 Get Directions Write a Review

NPPES record last updated: January 21, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Foundation Surgery Affiliate Of Nacogdoches Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FOUNDATION SURGERY AFFILIATE OF NACOGDOCHES LLC (NPI 1649252883), doing business as Nacogdoches Surgery Center, is a healthcare organization registered as an ambulatory surgical in Nacogdoches, Texas and active in the NPI registry since November 2005. The organization holds a CLIA Waiver certificate valid through October 24, 2026 and lists Carah Godinez, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1649252883

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameFOUNDATION SURGERY AFFILIATE OF NACOGDOCHES LLC

Location Address3610 N UNIVERSITY DRNacogdoches, TX 75965-2539

Mailing Address3610 N University DrNacogdoches, TX 75965-2539 · (936) 560-9599 · Fax (936) 560-6933

Phone(936) 560-9599

Fax(936) 560-6933

Organization SubpartNo

Authorized OfficialCarah GodinezCredentialing Manager · (817) 705-6517

Enumeration DateNovember 15, 2005

Last NPPES UpdateJanuary 21, 2026

NPPES CertifiedJanuary 21, 2026

✔ NPI 1649252883 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

License✔ Licensed in TX · 007238

3610 N UNIVERSITY DR, Nacogdoches, TX 75965

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Other Names 1

Doing Business AsNacogdoches Surgery Center

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, UnitedHealthcare.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D0979523

Foundation Surgery Affiliates Of Nacogdoches LLP · Nacogdoches, TX

Active · expires Oct 24, 2026

CLIA Number45D0979523

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateOctober 25, 2024

Certificate Expiration DateOctober 24, 2026

Laboratory DirectorClifton Thomas MD

Laboratory Phone(713) 622-2262

Laboratory LocationFoundation Surgery Affiliates Of Nacogdoches LLP3610 N University, Nacogdoches, TX 75961

CLIA data matches this NPI record on: Address

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

44 services44 patients

Injection of lower or sacral spine facet joint using imaging guidance, single level 64493

This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.

41 services16 patients

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483

This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.

24 services17 patients

Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint 64635

This procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.

21 services11 patients

Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery 45384

This procedure involves using a flexible tube with a camera, called an endoscope, to view the large intestine. If any abnormal growths or polyps are found, they are removed with an electrically-heated instrument. This is a common way to prevent bowel issues.

18 services18 patients

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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