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Organization
VISTA SURGICAL CENTER WEST LLC
Active
Organization
VISTA SURGICAL CENTER WEST LLC
Active
Other names
Piney Point Surgical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BRENDA H LEPLEY (COO)
(615) 550-4913
Entity
Organization
Contact information
Practice address
2500 FONDREN RD, SUITE 350, HOUSTON, TX 77063-2308
(713) 782-8279
(713) 782-3139
Mailing address
720 COOL SPRINGS BLVD, SUITE 520, FRANKLIN, TN 37067-2626
(615) 550-4913
(615) 550-4901
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
130046
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
151398801
—
TX
01
—
45D0985134
CLIA
—
01
—
HH1377
BCBS #
TX
Enumeration date
07/26/2006
Last updated
05/20/2014
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