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NPI 1033586136

NPI 1033586136 : PHYSICIANS WEST HOUSTON SURGICAL CENTER, LLC : HOUSTON, TX

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General NPI Number Information
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    NPI Number           |    1033586136
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    Entity Type          |    Organization 
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    Legal Business Name  |    PHYSICIANS WEST HOUSTON SURGICAL CENTER, LLC 
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Dates
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    Enumeration Date     |    08/25/2015
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    Last Update Date     |    11/25/2025
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Provider Practice Location Address
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    Address Line         |    15775 PARK TEN PL 
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77084-5153
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    Country              |    US
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    Telephone            |    281-647-2300
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    Fax                  |    281-550-7888
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Provider Business Mailing Address
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    Address Line         |    15775 PARK TEN PL 
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77084-5153
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    Country              |    US
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    Telephone            |    281-647-2300
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    Fax                  |    281-550-7888
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Authorized Official
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    Title or Position    |    OFFICER/AUTHORIZED OFFICIAL
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    Name                 |     NICK  CRAFTS 
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    Credential           |    
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    Telephone            |    832-729-4009
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QA1903X
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    Taxonomy Name        |    Ambulatory Surgical Clinic/Center
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    License Number       |    
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    License Number State |    
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