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NPI Code Detail

MEDICARE: FOUNDATION SURGERY AFFILIATE OF WEST HOUSTON

MEDICARE: FOUNDATION SURGERY AFFILIATE OF WEST HOUSTON
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
1261QA1903XAmbulatory Surgical Clinic/Center008105TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1437142932
Entity Type Code : Organization
Provider Name (Legal Business Name) : FOUNDATION SURGERY AFFILIATE OF WEST HOUSTON
Provider Business Mailing Address
First Line : 15775 PARK TEN PL
Second Line :
City : HOUSTON
State : TX
Zip : 77084-5153
Country : US
Telephone Number : 281-647-2300
Fax Number : 281-550-7815
Provider Business Practice Location Address
First Line : 15775 PARK TEN PL
Second Line :
City : HOUSTON
State : TX
Zip : 77084-5153
Country : US
Telephone Number : 281-647-2300
Fax Number : 281-550-7815
Authorized Official
Title or Position : ADMINISTRATOR
Name : MRS. CHRIS RIEDEL
Credential : RN
Telephone Number : 281-647-2300
Provider Enumeration Date : 08/30/2005
Last Update Date : 07/10/2009

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Directions to “FOUNDATION SURGERY AFFILIATE OF WEST HOUSTON ” Practice Location

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