Healthcare Provider Details
I. General information
NPI: 1962455840
Provider Name (Legal Business Name): SURGERY ASSOCIATES OF HOUSTON, LLP
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/19/2006
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2121 WILLIAMS TRACE BLVD STE 300
SUGAR LAND TX
77478-4526
US
IV. Provider business mailing address
2121 WILLIAMS TRACE BLVD STE 300
SUGAR LAND TX
77478-4526
US
V. Phone/Fax
- Phone: 832-840-0146
- Fax: 855-248-6475
- Phone: 832-840-0146
- Fax: 855-248-6475
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208600000X |
| Taxonomy | Surgery Physician |
| License Number | |
| License Number State | TX |
VIII. Authorized Official
Name:
SHELIA
SHOEMAKER
Title or Position: MANAGER
Credential:
Phone: 832-840-0146