# JDR SURGICAL PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518199298
- **Authorized official:** DR. JAIME ROBLEDO (MANAGER)
- **Authorized official phone:** (713) 590-5470

## Contact information

- **Practice address:** 9180 KATY FWY STE 202, HOUSTON, TX 77055-7443
- **Practice address phone:** (713) 647-7700
- **Mailing address:** 21402 PROVINCIAL BLVD, KATY, TX 77450-7587
- **Mailing address phone:** (713) 590-5470

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/14/2009
- **Last updated:** 09/10/2009