Healthcare Provider Details

I. General information

NPI: 1881915304
Provider Name (Legal Business Name): OPREX SURGERY (BAYTOWN) LP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2010
Last Update Date: 09/07/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1455 MANOR DRIVE SUITE 200
BAYTOWN TX
77521
US

IV. Provider business mailing address

1455 MANOR DRIVE SUITE 200
BAYTOWN TX
77521
US

V. Phone/Fax

Practice location:
  • Phone: 281-837-7600
  • Fax: 281-837-7601
Mailing address:
  • Phone: 281-837-7600
  • Fax: 281-837-7601

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code284300000X
TaxonomySpecial Hospital
License Number100254
License Number StateTX

VIII. Authorized Official

Name: MR. JAMES KEVIN HERRINGTON
Title or Position: REGIONAL VICE PRESIDENT
Credential:
Phone: 409-981-5500