Organization
FOUNDATION SURGERY AFFILIATE OF THE MEDCENTER LLC
Active
Other names
MedCenter Ambulatory Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RUTH A MAXWELL (ADMINISTRATOR/CEO)
(713) 529-8600
Entity
Organization
Contact information
Practice address
2459 S BRAESWOOD BLVD, HOUSTON, TX 77030-4305
(713) 529-8600
(713) 529-8603
Mailing address
2459 S BRAESWOOD BLVD, HOUSTON, TX 77030-4305
(713) 529-8600
(713) 529-8603
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
7897
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1557670
—
TX
Enumeration date
10/24/2005
Last updated
06/17/2009
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