Healthcare Provider Details

I. General information

NPI: 1598605545
Provider Name (Legal Business Name): SUGAR LAND SURGICAL INSTITUTE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/30/2026
Last Update Date: 03/30/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2121 WILLIAMS TRACE BLVD STE 200
SUGAR LAND TX
77478-4527
US

IV. Provider business mailing address

2121 WILLIAMS TRACE BLVD STE 200
SUGAR LAND TX
77478-4527
US

V. Phone/Fax

Practice location:
  • Phone: 281-397-1766
  • Fax: 281-397-1767
Mailing address:
  • Phone: 281-397-1766
  • Fax: 281-397-1767

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: PAWAN PANDYA
Title or Position: ADMINISTRATION
Credential:
Phone: 281-397-1766