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Organization

VANTAGE SURGICAL, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARK VANN II (MANAGING MEMBER)
(713) 532-7311
Entity
Organization

Contact information

Practice address
4200 TWELVE OAKS DR, HOUSTON, TX 77027-6812
(713) 621-5010
Mailing address
7789 SOUTHWEST FWY STE 410, HOUSTON, TX 77074-1834

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary

Other

Enumeration date
02/21/2013
Last updated
02/21/2013
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