=====================================================
General NPI Number Information
=====================================================
NPI Number | 1154028124
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | AVAIL SURGICAL LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/10/2023
-----------------------------------------------------
Last Update Date | 02/10/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 26710 INTERSTATE 45 N STE B100
-----------------------------------------------------
City | SPRING
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77386-1019
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 732-929-7270
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 16310 TOMBALL PKWY STE 403
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77064-1346
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 732-929-7270
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PARTNERS
-----------------------------------------------------
Name | MR. ARVINDER SINGH
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 732-929-7270
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 208600000X
-----------------------------------------------------
Taxonomy Name | Surgery Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------