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Organization
MEMORIAL HERMANN SURGERY CENTER KINGSLAND LLC
Active
Organization
MEMORIAL HERMANN SURGERY CENTER KINGSLAND LLC
Active
Other names
Memorial Hermann Surgery Center Kingsland
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS CRAFTS (OFFICER/AO)
(832) 729-4009
Entity
Organization
Contact information
Practice address
21720 KINGSLAND BLVD, SUITE 101, KATY, TX 77450-2550
(281) 492-1234
(281) 579-5630
Mailing address
21720 KINGSLAND BLVD, SUITE 101, KATY, TX 77450-2550
(281) 492-1234
(281) 579-5630
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
130003
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00744720
RAILROAD MEDICARE
TX
Enumeration date
10/14/2008
Last updated
11/24/2025
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