Organization
EASTSIDE SURGERY CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE ROSS (DIRECTOR OF MANAGED CARE)
(281) 772-7749
Entity
Organization
Contact information
Practice address
10918 EAST FWY, HOUSTON, TX 77029-1912
(713) 451-4299
(713) 451-4383
Mailing address
PO BOX 1643, STAFFORD, TX 77497-1643
(800) 249-3478
(713) 451-4383
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
085957101
—
TX
Enumeration date
08/25/2006
Last updated
07/21/2020
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