# CINCINNATI CHILDREN'S SURGERY CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Tri-State Children's Surgery Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750199600
- **Authorized official:** DEVIN LARSEN (CEO)
- **Authorized official phone:** (208) 340-1840

## Contact information

- **Practice address:** 9070 WINTON RD, CINCINNATI, OH 45231-3828
- **Practice address phone:** (713) 489-2198
- **Practice address fax:** (713) 489-2978
- **Mailing address:** 9709 LAKESIDE BLVD STE 350, SPRING, TX 77381-1216
- **Mailing address phone:** (713) 489-2198
- **Mailing address fax:** (713) 489-2978

## Taxonomy

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

## Other

- **Enumeration date:** 12/24/2024
- **Last updated:** 09/03/2026