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Organization
SUGAR LAND SURGICENTER
Active
Organization
SUGAR LAND SURGICENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRENDA CASEY (DIRECTOR OF NURSING)
(281) 201-8612
Entity
Organization
Contact information
Practice address
1229 CREEK WAY DR, SUGAR LAND, TX 77478-4555
(281) 201-8612
Mailing address
1229 CREEK WAY DR STE 104, SUGAR LAND, TX 77478-4555
(281) 201-8612
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
130123
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
130123
TEXAS DEPARTMENT OF HEALTH
TX
Enumeration date
09/10/2012
Last updated
02/01/2016
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