Healthcare Provider Details

I. General information

NPI: 1992145957
Provider Name (Legal Business Name): PREMIER PROCEDURE CENTERS, LP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/04/2013
Last Update Date: 07/04/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2646 S LOOP W SUITE 360
HOUSTON TX
77054-2665
US

IV. Provider business mailing address

2646 S LOOP W SUITE 360
HOUSTON TX
77054-2665
US

V. Phone/Fax

Practice location:
  • Phone: 214-295-6703
  • Fax: 214-245-5267
Mailing address:
  • Phone: 214-295-6703
  • Fax: 214-245-5267

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: ADRIANNA VILLARREAL
Title or Position: BILLING MANAGER
Credential:
Phone: 214-295-6703