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Organization

HOUSTON SURGERY CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANGELA DEVOUS (ACCOUNT RECEIVABLE SPECIALIST)
(713) 521-8772
Entity
Organization

Contact information

Practice address
6655 TRAVIS ST, HOUSTON, TX 77030-1343
(713) 335-1700
(713) 335-1710
Mailing address
PO BOX 4346, DEPT 543, HOUSTON, TX 77210-4346
(713) 521-8772
(405) 286-4997

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
008005
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10015837
AMERIGROUP
TX
01
7372535
AETNA
TX
01
HH028A
BCBS
TX
01
P00213942
MEDICARE RR
TX
Enumeration date
06/08/2006
Last updated
08/22/2020
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