Organization
PEASIE SURGICAL ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JODIE R ELLIS (BUSINESS OFFICE SUPERVISOR)
(832) 201-5157
Entity
Organization
Contact information
Practice address
9300 KIRBY DR, SUITE 100, HOUSTON, TX 77054-2530
(832) 201-5157
Mailing address
PO BOX 1759, DEPT 764, HOUSTON, TX 77251-1759
(832) 201-5157
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
12/11/2007
Last updated
12/11/2007
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