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General NPI Number Information
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NPI Number | 1184922353
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Entity Type | Organization
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Legal Business Name | PEARLAND SURGERY CENTER, LLC
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Dates
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Enumeration Date | 03/11/2011
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Last Update Date | 10/15/2024
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Provider Practice Location Address
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Address Line | 15015 KIRBY DR STE. 100
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City | HOUSTON
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State | TX
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Zip | 77047-2573
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Country | US
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Telephone | 832-255-7500
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Fax | 832-255-7501
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Provider Business Mailing Address
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Address Line | 15015 KIRBY DR STE. 100
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City | HOUSTON
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State | TX
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Zip | 77047-2573
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Country | US
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Telephone | 832-255-7500
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Fax | 832-255-7501
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Authorized Official
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Title or Position | MARKET PRESIDENT
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Name | NICHOLAS 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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Taxonomy #2
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | 130117
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License Number State | TX
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