MEDICARE: SURGICAL SPECIALTY TEAM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	207XS0117X	Orthopaedic Surgery of the Spine Physician
2	207XS0114X	Adult Reconstructive Orthopaedic Surgery Physician
3	207LP2900X	Pain Medicine (Anesthesiology) Physician

General Provider Information

NPI Number	:	1881556074
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SURGICAL SPECIALTY TEAM

Provider Business Mailing Address
First Line	:	9434 KATY FWY STE 400
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77055-6309
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8301 KATY FWY STE 101
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77024-1945
Country	:	US
Telephone Number	:	713-489-1741
Fax Number	:

Authorized Official
Title or Position	:	CFO
Name	:	KEITH SPARENBERG
Credential	:
Telephone Number	:	832-474-2079

Provider Enumeration Date	:	11/26/2025
Last Update Date	:	12/08/2025

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Practice Location Address:

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Practice Location Address:

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Directions to “SURGICAL SPECIALTY TEAM ” Practice Location

Language	Start Address	Practice Location

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