Healthcare Provider Details

I. General information

NPI: 1275337974
Provider Name (Legal Business Name): TINY TEXANS SURGERY CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/02/2025
Last Update Date: 04/02/2025
Certification Date: 04/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1801 BINZ ST STE 200
HOUSTON TX
77004-8107
US

IV. Provider business mailing address

1220 CARAWAY CT STE 1050
UPPER MARLBORO MD
20774-5338
US

V. Phone/Fax

Practice location:
  • Phone: 346-826-8999
  • Fax:
Mailing address:
  • Phone: 301-494-3000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: JEFF WHEELER
Title or Position: CEO
Credential:
Phone: 301-494-3000