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NPI Code Detail

MEDICARE: SPRING ASC LLC

MEDICARE: SPRING ASC 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/Center

General Provider Information

NPI Number : 1467341438
Entity Type Code : Organization
Provider Name (Legal Business Name) : SPRING ASC LLC
Provider Business Mailing Address
First Line : 21848 HOLZWARTH RD STE 120
Second Line :
City : SPRING
State : TX
Zip : 77388-3735
Country : US
Telephone Number : 281-446-2999
Fax Number : 281-446-5399
Provider Business Practice Location Address
First Line : 21848 HOLZWARTH RD STE 120
Second Line :
City : SPRING
State : TX
Zip : 77388-3735
Country : US
Telephone Number : 281-446-2999
Fax Number : 281-446-5399
Authorized Official
Title or Position : CFO
Name : BOBBY ROUSE JR.
Credential :
Telephone Number : 901-219-8656
Provider Enumeration Date : 07/02/2025
Last Update Date : 07/02/2025

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Directions to “SPRING ASC LLC ” Practice Location

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