Organization
VISTA SURGICAL CENTER WEST LLC
Active
Other names
Piney Point Surgical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BRENDA H LEPLEY (COO)
(615) 550-4913
Entity
Organization
Contact information
Practice address
2500 FONDREN RD, SUITE 350, HOUSTON, TX 77063-2308
(713) 782-8279
(713) 782-3139
Mailing address
720 COOL SPRINGS BLVD, SUITE 520, FRANKLIN, TN 37067-2626
(615) 550-4913
(615) 550-4901
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
130046
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
151398801
—
TX
01
—
45D0985134
CLIA
—
01
—
HH1377
BCBS #
TX
Enumeration date
07/26/2006
Last updated
05/20/2014
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