Organization
VICTORIA AMBULATORY SURGERY CENTER, LP
Active
Other names
The Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS CRAFTS (OFFICER / AUTHORIZED OFFICIAL)
(832) 729-4009
Entity
Organization
Contact information
Practice address
6404 NURSERY DR STE 300, VICTORIA, TX 77904-1688
(361) 570-8311
(361) 570-8508
Mailing address
6404 NURSERY DR STE 300, VICTORIA, TX 77904-1688
(361) 570-8311
(361) 570-8508
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
008190
TX
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1777955-01
—
TX
01
—
P00243956
RAILROAD MEDICARE
TX
Enumeration date
10/04/2005
Last updated
10/24/2024
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