Organization
COLOPROCTOLOGY SURGICARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARCUS MICHAEL AQUINO MD (PRESIDENT)
(281) 474-7171
Entity
Organization
Contact information
Practice address
2110 SEABROOK CIR, SEABROOK, TX 77586-1626
(281) 474-7171
(281) 474-7177
Mailing address
2110 SEABROOK CIR, SEABROOK, TX 77586-1626
(281) 474-7171
(281) 474-7177
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
—
—
261QE0800X
Endoscopy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043203128
PHYSICIAN NPI#
—
Enumeration date
10/12/2008
Last updated
10/12/2008
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