Organization
MEMORIAL HERMANN SURGERY CENTER KINGSLAND LLC
Active
Other names
Memorial Hermann Surgery Center Kingsland
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS CRAFTS (OFFICER/AO)
(832) 729-4009
Entity
Organization
Contact information
Practice address
21720 KINGSLAND BLVD, SUITE 101, KATY, TX 77450-2550
(281) 492-1234
(281) 579-5630
Mailing address
21720 KINGSLAND BLVD, SUITE 101, KATY, TX 77450-2550
(281) 492-1234
(281) 579-5630
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
130003
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00744720
RAILROAD MEDICARE
TX
Enumeration date
10/14/2008
Last updated
11/24/2025
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