MEDICARE: SURGICAL SPECTRUM, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208VP0014X	Interventional Pain Medicine Physician
2	246ZC0007X	Surgical Assistant

General Provider Information

NPI Number	:	1265858708
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SURGICAL SPECTRUM, LLC

Provider Business Mailing Address
First Line	:	PO BOX 13654
Second Line	:
City	:	BELFAST
State	:	ME
Zip	:	04915-4027
Country	:	US
Telephone Number	:	713-203-1645
Fax Number	:	713-383-7500

Provider Business Practice Location Address
First Line	:	9301 SOUTHWEST FWY
Second Line	:	SUITE 350
City	:	HOUSTON
State	:	TX
Zip	:	77074-1510
Country	:	US
Telephone Number	:	832-252-1315
Fax Number	:	832-252-1039

Authorized Official
Title or Position	:	PRACTICE ADMINISTRATOR
Name	:	MRS. JUANITTA FRANCIS
Credential	:
Telephone Number	:	713-203-1645

Provider Enumeration Date	:	03/07/2014
Last Update Date	:	12/09/2025

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