| Organization Name: | COLOPROCTOLOGY SURGICARE, INC. |
| NPI Number: | 1053563833 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARCUS MICHAEL AQUINO (PRESIDENT) |
| Mailing Address: | 2110 Seabrook Cir Seabrook |
| State: | TX US |
| Postal Code: | 775861626 |
| Phone Number: | 2814747171 |
| Fax Number: | 2814747177 |
| NPI Enumeration Date: | 10/12/2008 |
| NPI Last Update Date: | 10/12/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |