Organization
JACKSON STREET SURGICAL CENTER LLC
Active
Other names
Mid-Town Surgical Center
Organization subpart
No
Provider details
NPI number
Authorized official
ADITY SHARMA MD (OWNER)
(732) 698-1000
Entity
Organization
Contact information
Practice address
2015 JACKSON STREET, HOUSTON, TX 77003
(281) 974-2300
Mailing address
2015 JACKSON STREET, HOUSTON, TX 77003
(281) 974-2300
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
130278
TX
Other
Enumeration date
02/24/2016
Last updated
08/24/2016
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