| Organization Name: | OLYMPIA SURGICAL ASSOCIATES, INC. |
| NPI Number: | 1013386549 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARILEE SILVESTER (ASC ADMINISTRATOR) |
| Mailing Address: | 13525 Centerbrook Suite 100 Universal City |
| State: | TX US |
| Postal Code: | 781482734 |
| Phone Number: | 2102578014 |
| Fax Number: | 2102576856 |
| NPI Enumeration Date: | 09/15/2015 |
| NPI Last Update Date: | 05/16/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |