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Organization
INTERNATIONAL CENTER FOR SURGICAL SCIENCE
Active
Organization
INTERNATIONAL CENTER FOR SURGICAL SCIENCE
Active
Other names
Pan American Healthcare Group of Texas, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA AYALA (ADMINISTRATOR)
(281) 743-7728
Entity
Organization
Contact information
Practice address
10005 S MAIN ST, HOUSTON, TX 77025-5209
(281) 833-9990
Mailing address
10005 S MAIN ST, HOUSTON, TX 77025-5209
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
130064
TX
Other
Enumeration date
12/07/2010
Last updated
12/07/2010
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