Healthcare Provider Details

I. General information

NPI: 1821517103
Provider Name (Legal Business Name): CATALYST MEDICAL SUITES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2017
Last Update Date: 06/26/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1544 SAWDUST RD STE 280
SPRING TX
77380
US

IV. Provider business mailing address

1544 SAWDUST RD STE 280
SPRING TX
77380-2929
US

V. Phone/Fax

Practice location:
  • Phone: 281-292-7411
  • Fax: 281-292-7481
Mailing address:
  • Phone: 281-292-7411
  • Fax: 281-292-7481

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KENT OLSAN
Title or Position: OWNER
Credential:
Phone: 281-292-7411