Healthcare Provider Details

I. General information

NPI: 1720650948
Provider Name (Legal Business Name): UNIVERSAL SURGICAL MSO INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2021
Last Update Date: 07/15/2021
Certification Date: 07/15/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 SUGAR CREEK CENTER BLVD STE 618
SUGAR LAND TX
77478-3540
US

IV. Provider business mailing address

1 SUGAR CREEK CENTER BLVD STE 618
SUGAR LAND TX
77478-3540
US

V. Phone/Fax

Practice location:
  • Phone: 713-562-6237
  • Fax: 713-457-5188
Mailing address:
  • Phone: 713-562-6237
  • Fax: 713-457-5188

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246ZS0410X
TaxonomySurgical Technologist
License Number
License Number State

VIII. Authorized Official

Name: MUBASHIR CHAUDHRY
Title or Position: CEO
Credential: DRPH
Phone: 713-562-6237