# WESTSIDE SURGICAL HOSPITAL, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** WESTSIDE SURGICAL HOSPITAL, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922542794
- **Authorized official:** MATTHEW OKORO (DIRECTOR OF PHARMACY)
- **Authorized official phone:** (832) 865-0795

## Contact information

- **Practice address:** 4200 TWELVE OAKS DR, HOUSTON, TX 77027-6812
- **Practice address phone:** (832) 865-0795
- **Practice address fax:** (281) 964-2149
- **Mailing address:** 4200 TWELVE OAKS DR, HOUSTON, TX 77027-6812
- **Mailing address phone:** (832) 865-0795
- **Mailing address fax:** (281) 964-2195

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332000000X | Military/U.S. Coast Guard Pharmacy | — | NULL | — |
| 332BN1400X | Nursing Facility Supplies (DME) | — | NULL | — |
| 332BP3500X | Parenteral & Enteral Nutrition Supplies (DME) | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0002X | Clinic Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |
| 3336H0001X | Home Infusion Therapy Pharmacy | — | NULL | — |
| 3336I0012X | Institutional Pharmacy | 28383 | TX | Yes |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | — |
| 3336M0002X | Mail Order Pharmacy | — | NULL | — |
| 3336M0003X | Managed Care Organization Pharmacy | — | NULL | — |
| 3336S0011X | Specialty Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 12/13/2016
- **Last updated:** 12/13/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2166699 | PK | — |