Healthcare Provider Details
I. General information
NPI: 1821225731
Provider Name (Legal Business Name): BINUR SURGERY CENTER, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/18/2009
Last Update Date: 06/18/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8640 CENTRAL MALL DR
PORT ARTHUR TX
77642-8079
US
IV. Provider business mailing address
8640 CENTRAL MALL DR
PORT ARTHUR TX
77642-8079
US
V. Phone/Fax
- Phone: 409-727-3900
- Fax: 409-727-0007
- Phone: 409-727-3900
- Fax: 409-727-0007
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 | |
VIII. Authorized Official
Name: DR.
NIR
S
BINUR
Title or Position: PRESIDENT
Credential: M.D.
Phone: 409-727-3900