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Organization
MEMORIAL VILLAGE SURGERY CENTER
Active
Organization
MEMORIAL VILLAGE SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SYLVIA NUNEZ REYES C.A.S.A. (V.P. CLINICAL SERVICES)
(713) 337-1111
Entity
Organization
Contact information
Practice address
12727 KIMBERLEY LN STE 100, HOUSTON, TX 77024-4048
(713) 337-1111
Mailing address
12727 KIMBERLEY LN STE 100, HOUSTON, TX 77024-4048
(713) 337-1111
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
451208
MEDICARE
TX
Enumeration date
07/24/2007
Last updated
07/24/2007
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