Healthcare Provider Details

I. General information

NPI: 1629102181
Provider Name (Legal Business Name): SURGICAL ASSOCIATES OF TEXAS PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/15/2007
Last Update Date: 12/09/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 BATES AVE STE P115
HOUSTON TX
77030-2607
US

IV. Provider business mailing address

PO BOX 20345
HOUSTON TX
77225-0345
US

V. Phone/Fax

Practice location:
  • Phone: 832-355-4900
  • Fax: 832-355-3770
Mailing address:
  • Phone: 832-355-4900
  • Fax: 832-355-3770

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: MRS. KATHY HATCHER
Title or Position: PRACTICE MANAGER
Credential:
Phone: 832-355-4912