MEDICARE: HMU SURGICAL 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
1	261QA1903X	Ambulatory Surgical Clinic/Center	PENDING	TX

General Provider Information

NPI Number	:	1447555982
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HMU SURGICAL CENTER, LLC

Provider Business Mailing Address
First Line	:	4219 RICHMOND AVE
Second Line	:	SUITE 100
City	:	HOUSTON
State	:	TX
Zip	:	77027-6893
Country	:	US
Telephone Number	:	713-634-4433
Fax Number	:	713-634-4436

Provider Business Practice Location Address
First Line	:	4219 RICHMOND AVE
Second Line	:	SUITE 100
City	:	HOUSTON
State	:	TX
Zip	:	77027-6893
Country	:	US
Telephone Number	:	713-634-4433
Fax Number	:	713-634-4436

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MRS. KIMBERLY ARTHERO HOWSE
Credential	:	RN
Telephone Number	:	321-432-3670

Provider Enumeration Date	:	01/13/2011
Last Update Date	:	07/06/2012

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