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Organization
BAYSIDE A S C LP
Active
Organization
BAYSIDE A S C LP
Active
Other names
Bayside Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE RODRIGUEZ M.D. (GENERAL PATNER)
(281) 487-6111
Entity
Organization
Contact information
Practice address
4001 PRESTON AVE, STE 175, PASADENA, TX 77505-2019
(281) 487-6111
(281) 487-6090
Mailing address
4001 PRESTON AVE, STE 175, PASADENA, TX 77505-2019
(281) 487-6111
(281) 487-6090
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
008204
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
167502701
—
TX
Enumeration date
09/13/2006
Last updated
08/04/2008
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