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NPI Code Detail

MEDICARE: KINGWOOD SURGERY CENTER LLC

MEDICARE: KINGWOOD 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/Center

General Provider Information

NPI Number : 1619265295
Entity Type Code : Organization
Provider Name (Legal Business Name) : KINGWOOD SURGERY CENTER LLC
Provider Business Mailing Address
First Line : 19502 MCKAY DR STE 101
Second Line :
City : HUMBLE
State : TX
Zip : 77338-5720
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 19502 MCKAY BLVD
Second Line : SUITE 101
City : HUMBLE
State : TX
Zip : 77338-5707
Country : US
Telephone Number : 281-312-6900
Fax Number :
Authorized Official
Title or Position : VP/CFO
Name : DAVID MCKNIGHT
Credential :
Telephone Number : 972-789-2816
Provider Enumeration Date : 07/15/2011
Last Update Date : 06/12/2026

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Directions to “KINGWOOD SURGERY CENTER LLC ” Practice Location

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