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Organization

WILLOWBROOK SURGERY CENTER LTD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JANE TIPTON (ACCOUNTS RECEIVABLE)
(281) 955-2175
Entity
Organization

Contact information

Practice address
13300 HARGRAVE, #310, HOUSTON, TX 77070
(281) 955-2175
(281) 955-8875
Mailing address
13300 HARGRAVE, #310, HOUSTON, TX 77070
(281) 955-2175
(281) 955-8875

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
008301
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
HH095A
BLUE CROSS BLUE SHIELD
TX
Enumeration date
10/12/2006
Last updated
08/22/2020
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