MEDICARE: SPECIALIZED SURGERY PARTNERS INC

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	207LP2900X	Pain Medicine (Anesthesiology) Physician

General Provider Information

NPI Number	:	1932896602
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPECIALIZED SURGERY PARTNERS INC

Provider Business Mailing Address
First Line	:	1302 WAUGH DR # 533
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77019-3908
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3838 N SAM HOUSTON PKWY E STE 325
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77032-3400
Country	:	US
Telephone Number	:	424-246-5355
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	NELSON BOND
Credential	:	MD
Telephone Number	:	424-246-5355

Provider Enumeration Date	:	04/21/2023
Last Update Date	:	04/21/2023

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