Organization
KIRBY GLEN SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCELO M PUIGGARI JD (GENERAL COUNSEL / VP LEGAL SERVICES)
(405) 608-1735
Entity
Organization
Contact information
Practice address
2459 S BRAESWOOD BLVD, HOUSTON, TX 77030-4305
(713) 529-8600
(713) 529-8603
Mailing address
14000 N PORTLAND AVE, SUITE 203, OKLAHOMA CITY, OK 73134-4003
(405) 608-1766
(405) 608-1866
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
007897
TX
Other
Enumeration date
11/28/2011
Last updated
11/28/2011
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