Organization
UNIVERSAL SURGICAL PARTNERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KHALIDA TUFAIL (PRESIDENT)
(832) 655-4141
Entity
Organization
Contact information
Practice address
1 SUGAR CREEK CENTER BLVD STE 850, SUITE 850, SUGAR LAND, TX 77478-4087
(832) 655-4141
(713) 457-5188
Mailing address
1 SUGAR CREEK CENTER BLVD STE 850, SUITE 850, SUGAR LAND, TX 77478-4087
(832) 655-4141
(713) 457-5188
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
SA 0277
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0088SX
BCBS
TX
01
—
320607
MEDICARE PTAN
TX
01
—
327288YV3C
MEDICARE PTAN
TX
Enumeration date
10/19/2012
Last updated
04/13/2017
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