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NPI Code Detail

MEDICARE: EAST HOUSTON SURGERY CENTER, LLC

MEDICARE: EAST HOUSTON SURGERY CENTER, LLC
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
1261QA1903XAmbulatory Surgical Clinic/Center0376TX
2261QA1903XAmbulatory Surgical Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1235132150
Entity Type Code : Organization
Provider Name (Legal Business Name) : EAST HOUSTON SURGERY CENTER, LLC
Provider Business Mailing Address
First Line : 12950 EAST FRWY.
Second Line : SUITE 100
City : HOUSTON
State : TX
Zip : 77015-5710
Country : US
Telephone Number : 713-330-3887
Fax Number : 713-330-3897
Provider Business Practice Location Address
First Line : 12950 EAST FRWY.
Second Line : SUITE 100
City : HOUSTON
State : TX
Zip : 77015-5710
Country : US
Telephone Number : 713-330-3887
Fax Number : 713-330-3897
Authorized Official
Title or Position : BUSINESS OFFICE MANAGER
Name : MS. NORMA JEAN HOFSTETTER
Credential :
Telephone Number : 713-330-3887
Provider Enumeration Date : 05/24/2005
Last Update Date : 11/07/2008

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Directions to “EAST HOUSTON SURGERY CENTER, LLC ” Practice Location

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