MEDICARE: EUSTON ASSOCIATES, P.A.

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	261QA1903X	Ambulatory Surgical Clinic/Center

General Provider Information

NPI Number	:	1952530214
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EUSTON ASSOCIATES, P.A.

Provider Business Mailing Address
First Line	:	38 GRAND REGENCY CIR
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77382-1608
Country	:	US
Telephone Number	:	281-681-9848
Fax Number	:

Provider Business Practice Location Address
First Line	:	38 GRAND REGENCY CIR
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77382-1608
Country	:	US
Telephone Number	:	281-681-9848
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SCOTT COHEN
Credential	:	M.D.
Telephone Number	:	281-681-9848

Provider Enumeration Date	:	07/08/2009
Last Update Date	:	07/08/2009

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