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Organization
SUREGUARD LLC
Active
Organization
SUREGUARD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEE BROCHSTEIN (EXECTIVE DIRECTOR OF CORPORATE OPS)
(713) 703-8642
Entity
Organization
Contact information
Practice address
1 TIFFANY PT STE 110, BLOOMINGDALE, IL 60108-2915
(630) 924-1160
Mailing address
3414 GANNETT ST, HOUSTON, TX 77025-3712
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
—
—
Other
Enumeration date
09/19/2024
Last updated
02/26/2025
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