Healthcare Provider Details
I. General information
NPI: 1740654664
Provider Name (Legal Business Name): RYMD SURGERY CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/16/2015
Last Update Date: 11/16/2015
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
950 THREADNEEDLE ST #250
HOUSTON TX
77079-2925
US
IV. Provider business mailing address
950 THREADNEEDLE ST #250
HOUSTON TX
77079-2925
US
V. Phone/Fax
- Phone: 713-467-0146
- Fax: 713-467-0799
- Phone: 713-467-0146
- Fax: 713-467-0799
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QA1903X |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| License Number | |
| License Number State | TX |
VIII. Authorized Official
Name: DR.
ROBERT
SCOTT
YARISH
Title or Position: OWNER
Credential: MD
Phone: 713-467-0146