Healthcare Provider Details

I. General information

NPI: 1902615750
Provider Name (Legal Business Name): ROBOTIC JOINT REPLACEMENT CENTER ON GREENHOUSE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/06/2025
Last Update Date: 01/06/2025
Certification Date: 01/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2051 GREENHOUSE RD STE 130-140
HOUSTON TX
77084-7857
US

IV. Provider business mailing address

2525 E ARIZONA BILTMORE CIR STE C138
PHOENIX AZ
85016-2101
US

V. Phone/Fax

Practice location:
  • Phone: 602-256-2525
  • Fax:
Mailing address:
  • Phone: 602-256-2525
  • 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: HANNAH LIEBERMAN
Title or Position: VP OF ADMINISTRATION
Credential:
Phone: 602-385-0430