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Organization
MEMORIAL HERMANN SURGERY CENTER PRESTON ROAD, LTD.
Active
Organization
MEMORIAL HERMANN SURGERY CENTER PRESTON ROAD, LTD.
Active
Other names
Doctors United Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
JENETHA D MORAN (OFFICER / AUTHORIZED OFFICIA)
(972) 763-3893
Entity
Organization
Contact information
Practice address
3534 VISTA RD, PASADENA, TX 77504-1728
(713) 947-0330
(713) 947-6562
Mailing address
3534 VISTA RD, PASADENA, TX 77504-1728
(713) 947-0330
(713) 947-6562
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
130288
STATE LICENSE
TX
Enumeration date
12/22/2015
Last updated
08/05/2016
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