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Organization

CHEVELLE SURGICAL AFFILIATES, PA

Active
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Organization

CHEVELLE SURGICAL AFFILIATES, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JODIE ELLIS (BUSINES OFFICES SUPERVISOR)
(713) 355-8600
Entity
Organization

Contact information

Practice address
4120 SOUTHWEST FWY, 200, HOUSTON, TX 77027-7339
(713) 355-8600
(713) 355-8069
Mailing address
PO BOX 1759, DEPT 780, HOUSTON, TX 77251-1759
(713) 355-8600
(713) 355-8069

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—

Other

Enumeration date
03/20/2008
Last updated
03/20/2008
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