MEDICARE: TEXAS ENDOSURGICAL ASSOCIATES, P. A.

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	208600000X	Surgery Physician

General Provider Information

NPI Number	:	1992883151
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TEXAS ENDOSURGICAL ASSOCIATES, P. A.

Provider Business Mailing Address
First Line	:	PO BOX 2111
Second Line	:
City	:	BAYTOWN
State	:	TX
Zip	:	77521
Country	:	US
Telephone Number	:	281-422-9811
Fax Number	:	281-420-1262

Provider Business Practice Location Address
First Line	:	2530 W HOLCOMBE BLVD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-1904
Country	:	US
Telephone Number	:	281-422-9811
Fax Number	:	281-420-1262

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. EDWARD MANUEL PINA
Credential	:	MD
Telephone Number	:	281-422-9811

Provider Enumeration Date	:	11/02/2006
Last Update Date	:	04/28/2023

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