Healthcare Provider Details

I. General information

NPI: 1144573734
Provider Name (Legal Business Name): UNIVERSAL SURGICAL PARTNERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/19/2012
Last Update Date: 04/13/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 SUGAR CREEK CENTER BLVD STE 850 SUITE 850
SUGAR LAND TX
77478-4087
US

IV. Provider business mailing address

1 SUGAR CREEK CENTER BLVD STE 850 SUITE 850
SUGAR LAND TX
77478-4087
US

V. Phone/Fax

Practice location:
  • Phone: 832-655-4141
  • Fax: 713-457-5188
Mailing address:
  • Phone: 832-655-4141
  • Fax: 713-457-5188

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246ZS0410X
TaxonomySurgical Technologist
License NumberSA 0277
License Number StateTX

VIII. Authorized Official

Name: KHALIDA TUFAIL
Title or Position: PRESIDENT
Credential:
Phone: 832-655-4141