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General NPI Number Information
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NPI Number | 1235288903
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Entity Type | Organization
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Legal Business Name | MEMORIAL HERMANN SURGERY CENTER, PEARLAND
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Dates
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Enumeration Date | 01/10/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 10905 MEMORIAL HERMANN DRIVE
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City | PEARLAND
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State | TX
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Zip | 77584
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Country | US
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Telephone | 713-343-0844
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Fax | 713-343-0833
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Provider Business Mailing Address
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Address Line | 3050 POST OAK BLVD SUITE 620
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City | HOUSTON
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State | TX
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Zip | 77056-6527
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Country | US
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Telephone | 713-343-0844
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Fax | 713-343-0833
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Authorized Official
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Title or Position | REGIONAL VICE PRESIDENT
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Name | DAVID A. LEWIS
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Credential |
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Telephone | 713-343-0844
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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 | TBD
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License Number State | TX
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