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Organization
MEMORIAL HERMANN WEST HOUSTON SURGERY CENTER, LLC
Active
Organization
MEMORIAL HERMANN WEST HOUSTON SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER BLACH (OFFICER/AUTHORIZED OFFICIAL)
(713) 343-0832
Entity
Organization
Contact information
Practice address
970 CAMPBELL ROAD, HOUSTON, TX 77024-2804
(713) 461-3547
(713) 461-0754
Mailing address
970 CAMPBELL ROAD, HOUSTON, TX 77024-2804
(713) 461-3547
(713) 461-0754
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
000318
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
085859901
—
TX
01
—
HH1227
TX BCBS PROVIDER ID
TX
Enumeration date
06/21/2005
Last updated
10/11/2024
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