MEDICARE: SUMMIT ASC, 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
1	261QA1903X	Ambulatory Surgical Clinic/Center	007253	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	490005016	OTHER	TX	RAILROAD MEDICARE

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
3	HH1563	OTHER	TX	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1841397171
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUMMIT ASC, LLP

Provider Business Mailing Address
First Line	:	4126 SOUTHWEST FREEWAY SUITE 108
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77027-7318
Country	:	US
Telephone Number	:	713-622-4995
Fax Number	:	713-622-6246

Provider Business Practice Location Address
First Line	:	4126 SOUTHWEST FWY STE 108
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77027-7318
Country	:	US
Telephone Number	:	713-622-4995
Fax Number	:	713-622-6246

Authorized Official
Title or Position	:	MANAGER
Name	:	DR. JOHN J GARRETT
Credential	:	M.D.
Telephone Number	:	713-621-6245

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	02/25/2026

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Directions to “SUMMIT ASC, LLP ” Practice Location

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