Organization
MBC AMBULATORY SURGERY CENTER LP
Active
Other names
Mann Cataract Surgery Center Main Humble
Organization subpart
No
Provider details
NPI number
Authorized official
JILL ROSALES (CREDENTIALING)
(713) 275-2457
Entity
Organization
Contact information
Practice address
18850 S MEMORIAL DR, 5115 MAIN ST. #300 HOUSTON, TEXAS 77002, HUMBLE, TX 77338-4288
(713) 275-2457
(713) 275-2466
Mailing address
PO BOX 4346, DEPT 368, HOUSTON, TX 77210-4346
(713) 275-2457
(713) 275-2466
Taxonomy
Speciality
Code
Description
License number
State
261QS0132X
Ophthalmologic Surgery Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ASC354
MEDICARE PTAN
TX
01
—
HH1286
BLUE CROSS
TX
Enumeration date
03/02/2007
Last updated
08/27/2025
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