MEDICARE: SURGICENTER FOR ADVANCED SURGERY, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QA1903X	Ambulatory Surgical Clinic/Center

General Provider Information

NPI Number	:	1225248883
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SURGICENTER FOR ADVANCED SURGERY, INC.

Provider Business Mailing Address
First Line	:	2530 W HOLCOMBE BLVD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-1904
Country	:	US
Telephone Number	:	832-778-7022
Fax Number	:

Provider Business Practice Location Address
First Line	:	2530 W HOLCOMBE BLVD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-1904
Country	:	US
Telephone Number	:	832-778-7022
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. HECTOR M. VIERA
Credential	:	M.D.
Telephone Number	:	832-778-7022

Provider Enumeration Date	:	05/23/2007
Last Update Date	:	08/22/2020

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