Healthcare Provider Details

I. General information

NPI: 1457876898
Provider Name (Legal Business Name): MVP SPECIALIST SURGERY CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2017
Last Update Date: 05/06/2020
Certification Date: 05/06/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7501 FANNIN ST STE 200
HOUSTON TX
77054-1953
US

IV. Provider business mailing address

PO BOX 735192
DALLAS TX
75373-5192
US

V. Phone/Fax

Practice location:
  • Phone: 713-244-5721
  • Fax: 713-487-1523
Mailing address:
  • Phone: 713-244-5721
  • Fax: 713-487-1523

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: MRS. JUANITTA FRANCIS
Title or Position: GOVERNING MEMBER
Credential:
Phone: 713-244-5721