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NPI Code Detail

MEDICARE: SURGICAL SINUS CENTER OF HUMBLE, LLP

MEDICARE: SURGICAL SINUS CENTER OF HUMBLE, LLP
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
1282N00000XGeneral Acute Care Hospital

General Provider Information

NPI Number : 1497056121
Entity Type Code : Organization
Provider Name (Legal Business Name) : SURGICAL SINUS CENTER OF HUMBLE, LLP
Provider Business Mailing Address
First Line : 2000 CRAWFORD ST STE 800
Second Line :
City : HOUSTON
State : TX
Zip : 77002-9008
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2000 CRAWFORD ST STE 800
Second Line :
City : HOUSTON
State : TX
Zip : 77002-9008
Country : US
Telephone Number : 713-660-1710
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. PERRIN CLARK
Credential :
Telephone Number : 713-838-9153
Provider Enumeration Date : 11/11/2010
Last Update Date : 11/11/2010

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Directions to “SURGICAL SINUS CENTER OF HUMBLE, LLP ” Practice Location

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