Organization
S W HOUSTON SURGICAL ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FERNANDO E MIRANDA MD (OWNER)
(713) 960-0590
Entity
Organization
Contact information
Practice address
4141 SOUTHWEST FWY, SUITE 400, HOUSTON, TX 77027-7313
(713) 960-0590
(713) 960-0722
Mailing address
4141 SOUTHWEST FWY, SUITE 400, HOUSTON, TX 77027-7313
(713) 960-0590
(713) 960-0722
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
L6528
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
168766701
—
TX
Enumeration date
02/27/2007
Last updated
11/06/2012
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