=====================================================
General NPI Number Information
=====================================================
NPI Number | 1043523525
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | METROPOLITAN HOUSTON SURGERY ASSOCIATES PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/26/2010
-----------------------------------------------------
Last Update Date | 08/03/2012
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2101 CRAWFORD ST STE 304
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77002-8941
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 713-659-1728
-----------------------------------------------------
Fax | 713-659-7808
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 133 N FRIENDSWOOD DR STE 331
-----------------------------------------------------
City | FRIENDSWOOD
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77546-3746
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 713-659-1728
-----------------------------------------------------
Fax | 713-659-7808
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OPERATING MANAGER
-----------------------------------------------------
Name | PAUL J JAMES
-----------------------------------------------------
Credential | M.D.
-----------------------------------------------------
Telephone | 713-659-1728
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 208600000X
-----------------------------------------------------
Taxonomy Name | Surgery Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------