# EVERGREEN SURGICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871158436
- **Authorized official:** SANDY CARLSON (ADMINISTRATOR)
- **Authorized official phone:** (346) 413-6040

## Contact information

- **Practice address:** 9303 NEW TRAILS DR STE 180, THE WOODLANDS, TX 77381-5009
- **Practice address phone:** (346) 413-6040
- **Mailing address:** 9303 NEW TRAILS DR STE 180, THE WOODLANDS, TX 77381-5009
- **Mailing address phone:** (346) 413-6040

## Taxonomy

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

## Other

- **Enumeration date:** 05/08/2019
- **Last updated:** 05/08/2019