Organization Name: | S R SURGICAL CENTER, PA |
NPI Number: | 1033393855 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CAROLYN BRUCE (V.P. OF FINANCE) |
Mailing Address: | 18929 Highway 59 N Humble |
State: | TX US |
Postal Code: | 773384270 |
Phone Number: | 2814464053 |
Fax Number: | |
NPI Enumeration Date: | 12/28/2007 |
NPI Last Update Date: | 12/28/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QA1903X |
License Number: | 007917 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Ambulatory Surgical |
Taxonomy Definition: |