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General NPI Number Information
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NPI Number | 1194783779
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Entity Type | Organization
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Legal Business Name | KATY ST. CATHERINE SURGERY CENTER, LP
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Dates
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Enumeration Date | 05/03/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 707 S FRY RD SUITE # 150
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City | KATY
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State | TX
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Zip | 77450-2218
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Country | US
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Telephone | 281-646-4200
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Fax | 281-646-4201
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Provider Business Mailing Address
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Address Line | 707 S FRY RD SUITE # 150
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City | KATY
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State | TX
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Zip | 77450-2218
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Country | US
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Telephone | 281-646-4200
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Fax | 281-646-4201
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. MARSHA SIMON PARKER
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Credential | RN
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Telephone | 281-646-4200
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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 | 008320
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License Number State | TX
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