Organization
MEMORIAL ENT SURGICAL AFFILIATES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOURABH SANDUJA (MANAGER)
(713) 960-6692
Entity
Organization
Contact information
Practice address
9901 TOWN PARK DR, HOUSTON, TX 77036-2343
(713) 960-6692
(713) 960-6691
Mailing address
PO BOX 722077, HOUSTON, TX 77272-2077
(713) 960-6692
(713) 960-6691
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
01/23/2009
Last updated
05/28/2009
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