MEDICARE: SUGAR LAND SURGERY CENTER LTD

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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1659316917
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUGAR LAND SURGERY CENTER LTD

Provider Business Mailing Address
First Line	:	15300 SOUTHWEST FWY STE 100
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77478-3827
Country	:	US
Telephone Number	:	281-274-6670
Fax Number	:	281-274-8244

Provider Business Practice Location Address
First Line	:	15300 SOUTHWEST FWY STE 100
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77478-3827
Country	:	US
Telephone Number	:	281-274-6670
Fax Number	:	281-274-8244

Authorized Official
Title or Position	:	VP/CFO
Name	:	DAVID MCKNIGHT
Credential	:
Telephone Number	:	972-789-2816

Provider Enumeration Date	:	06/19/2006
Last Update Date	:	06/15/2026

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Directions to “SUGAR LAND SURGERY CENTER LTD ” Practice Location

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