MEDICARE: PHYSICIANS AMBULATORY SURGERY CENTER, 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	261QE0800X	Endoscopy Clinic/Center
2	261QA1903X	Ambulatory Surgical Clinic/Center

General Provider Information

NPI Number	:	1902036049
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PHYSICIANS AMBULATORY SURGERY CENTER, LLC

Provider Business Mailing Address
First Line	:	3030 S GESSNER RD STE 150
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77063-3777
Country	:	US
Telephone Number	:	713-587-0909
Fax Number	:

Provider Business Practice Location Address
First Line	:	3030 S GESSNER RD STE 150
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77063-3777
Country	:	US
Telephone Number	:	713-587-0909
Fax Number	:

Authorized Official
Title or Position	:	VP/CFO
Name	:	DAVID MCKNIGHT
Credential	:
Telephone Number	:	972-789-2816

Provider Enumeration Date	:	07/23/2009
Last Update Date	:	06/15/2026

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