Healthcare Provider Details

I. General information

NPI: 1033458443
Provider Name (Legal Business Name): OPST - THE SURGERY CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/05/2013
Last Update Date: 02/05/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7500 SAN FELIPE ST SUITE 200
HOUSTON TX
77063-1707
US

IV. Provider business mailing address

7500 SAN FELIPE ST SUITE 200
HOUSTON TX
77063-1707
US

V. Phone/Fax

Practice location:
  • Phone: 713-953-9932
  • Fax: 713-953-0380
Mailing address:
  • Phone: 713-953-9932
  • Fax: 713-953-0380

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number StateTX

VIII. Authorized Official

Name: MARC N. LONGO
Title or Position: OWNER
Credential: M.D.
Phone: 713-953-9932