# BOUTROS SURGICAL ASSOCIATES PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295027183
- **Authorized official:** DR. SEAN G BOUTROS MD (DOCTOR/OWNER)
- **Authorized official phone:** (713) 791-0700

## Contact information

- **Practice address:** 6400 FANNIN ST STE 2290, HOUSTON, TX 77030-1543
- **Practice address phone:** (713) 791-0700
- **Practice address fax:** (713) 791-0703
- **Mailing address:** 6400 FANNIN ST STE 2290, HOUSTON, TX 77030-1543
- **Mailing address phone:** (713) 791-0700
- **Mailing address fax:** (713) 791-0703

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2082S0099X | Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician | M2633 | TX | Yes |

## Other

- **Enumeration date:** 05/10/2011
- **Last updated:** 08/27/2014