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Organization
MID TOWN SURGICAL CENTER LLP
Active
Organization
MID TOWN SURGICAL CENTER LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALICE MARIE CRAVENS (OFFICE MANAGER)
(713) 691-6000
Entity
Organization
Contact information
Practice address
2105 JACKSON ST, STE #200, HOUSTON, TX 77003
(713) 691-6000
(713) 691-1273
Mailing address
PO BOX 11810, SPRING, TX 77391
(713) 691-6000
(713) 691-1273
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
ASC007972TX
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Z04511537
—
TX
Enumeration date
11/01/2006
Last updated
08/16/2007
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