MEDICARE: SURGICAL CONSULTANTS OF TEXAS, PA

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	207Q00000X	Family Medicine Physician	H4515	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	9947449	OTHER	TX	CIGNA
2	6226639	OTHER	TX	HUMANA
3	8B0591	OTHER	TX	BLUE CROSS BLUE SHIELD
4	5778426	OTHER	TX	AETNA
5	10175	OTHER	TX	MHHNP

General Provider Information

NPI Number	:	1487771069
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SURGICAL CONSULTANTS OF TEXAS, PA

Provider Business Mailing Address
First Line	:	6550 FANNIN ST
Second Line	:	SUITE 2435
City	:	HOUSTON
State	:	TX
Zip	:	77030-2717
Country	:	US
Telephone Number	:	713-790-3140
Fax Number	:	713-790-3235

Provider Business Practice Location Address
First Line	:	6550 FANNIN ST
Second Line	:	SUITE 2435
City	:	HOUSTON
State	:	TX
Zip	:	77030-2717
Country	:	US
Telephone Number	:	713-790-3140
Fax Number	:	713-790-3235

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	DEBRA KAY HARVEY
Credential	:	MD
Telephone Number	:	713-790-3140

Provider Enumeration Date	:	03/26/2007
Last Update Date	:	08/22/2020

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Directions to “SURGICAL CONSULTANTS OF TEXAS, PA ” Practice Location

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