MEDICARE: BOUTROS SURGICAL ASSOCIATES PA

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	2082S0099X	Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician	M2633	TX

General Provider Information

NPI Number	:	1295027183
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BOUTROS SURGICAL ASSOCIATES PA

Provider Business Mailing Address
First Line	:	6400 FANNIN ST STE 2290
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-1543
Country	:	US
Telephone Number	:	713-791-0700
Fax Number	:	713-791-0703

Provider Business Practice Location Address
First Line	:	6400 FANNIN ST STE 2290
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-1543
Country	:	US
Telephone Number	:	713-791-0700
Fax Number	:	713-791-0703

Authorized Official
Title or Position	:	DOCTOR/OWNER
Name	:	DR. SEAN G BOUTROS
Credential	:	MD
Telephone Number	:	713-791-0700

Provider Enumeration Date	:	05/10/2011
Last Update Date	:	08/27/2014

Similar Medicare Providers

1164765657 — KARRI A DILLARD CSA
Practice Location Address:

6400 FANNIN ST STE 2290
HOUSTON, TX
77030-1543

Practice Phone: 713-791-0700
Practice Fax: 713-791-0703

1497946511 — MS. LINDSAY ANN HEAD M.ED
Practice Location Address:

353 CRENSHAW RD
HOUSTON, TX
77034-1543

Practice Phone: 832-548-5000
Practice Fax:

1689189367 — TAIRRA LANEA COUTEE
Practice Location Address:

15627 KIPPERS DR
HOUSTON, TX
77014-1543

Practice Phone: 832-375-0808
Practice Fax:

1295293983 — MADIHATU ALLI
Practice Location Address:

6403 SIERRA BLANCA DR APT 1404
HOUSTON, TX
77083-1543

Practice Phone: 735-430-7257
Practice Fax:

1710530316 — LEGACY COMMUNITY HEALTH SERVICES, INC
Practice Location Address:

353 CRENSHAW RD
HOUSTON, TX
77034-1543

Practice Phone: 832-548-5000
Practice Fax: 281-625-2051

1275134595 — LEGACY COMMUNITY HEALTH SERVICES, INC
Practice Location Address:

507 CRENSHAW RD.
HOUSTON, TX
77034-1543

Practice Phone: 832-548-5000
Practice Fax: 281-664-5087

Directions to “BOUTROS SURGICAL ASSOCIATES PA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.