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Organization
FOUNDATION SURGERY AFFILIATE OF THE MEDCENTER LLC
Active
Organization
FOUNDATION SURGERY AFFILIATE OF THE MEDCENTER LLC
Active
Other names
MedCenter Ambulatory Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RUTH A MAXWELL (ADMINISTRATOR/CEO)
(713) 529-8600
Entity
Organization
Contact information
Practice address
2459 S BRAESWOOD BLVD, HOUSTON, TX 77030-4305
(713) 529-8600
(713) 529-8603
Mailing address
2459 S BRAESWOOD BLVD, HOUSTON, TX 77030-4305
(713) 529-8600
(713) 529-8603
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
7897
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1557670
—
TX
Enumeration date
10/24/2005
Last updated
06/17/2009
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