Healthcare Provider Details

I. General information

NPI: 1205217593
Provider Name (Legal Business Name): SURGICAL AND CLINICAL ASSOCIATION OF TEXAS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2015
Last Update Date: 06/12/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7900 FANNIN ST SUITE 1200
HOUSTON TX
77054-2934
US

IV. Provider business mailing address

PO BOX 8308
SPRING TX
77387-8308
US

V. Phone/Fax

Practice location:
  • Phone: 713-790-0600
  • Fax:
Mailing address:
  • Phone: 800-785-8765
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208C00000X
TaxonomyColon & Rectal Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: ERIC HAAS
Title or Position: MANAGING DIRECTOR
Credential: M.D.
Phone: 713-790-0600