MEDICARE: ADVANCED SURGEONS & PHYSICIANS NETWORK, INC.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	208600000X	Surgery Physician
2	207L00000X	Anesthesiology Physician
3	207P00000X	Emergency Medicine Physician
4	2082S0105X	Surgery of the Hand (Plastic Surgery) Physician
5	207XS0117X	Orthopaedic Surgery of the Spine Physician
6	207Q00000X	Family Medicine Physician

Other Identifiers

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

General Provider Information

NPI Number	:	1508030917
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCED SURGEONS & PHYSICIANS NETWORK, INC.

Provider Business Mailing Address
First Line	:	1911 BAGBY ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77002-8594
Country	:	US
Telephone Number	:	713-383-7147
Fax Number	:	713-383-1302

Provider Business Practice Location Address
First Line	:	4200 TWELVE OAKS DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77027-6812
Country	:	US
Telephone Number	:	713-795-4884
Fax Number	:	713-383-4446

Authorized Official
Title or Position	:	DIRECTOR BUSINESS OFFICE
Name	:	MRS. LANISA GUIDRY
Credential	:
Telephone Number	:	713-795-1152

Provider Enumeration Date	:	04/16/2008
Last Update Date	:	04/07/2026

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