Healthcare Provider Details

I. General information

NPI: 1467341438
Provider Name (Legal Business Name): SPRING ASC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2025
Last Update Date: 07/02/2025
Certification Date: 07/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21848 HOLZWARTH RD STE 120
SPRING TX
77388-3735
US

IV. Provider business mailing address

21848 HOLZWARTH RD STE 120
SPRING TX
77388-3735
US

V. Phone/Fax

Practice location:
  • Phone: 281-446-2999
  • Fax: 281-446-5399
Mailing address:
  • Phone: 281-446-2999
  • Fax: 281-446-5399

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: BOBBY ROUSE JR.
Title or Position: CFO
Credential:
Phone: 901-219-8656