Organization
SHORELINE SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIM X HEAD (CEO)
(281) 825-4627
Entity
Organization
Contact information
Practice address
6701 LAKE WOODLANDS DR STE 180, THE WOODLANDS, TX 77382-2565
(281) 825-4627
(800) 878-0301
Mailing address
6701 LAKE WOODLANDS DR STE 180, THE WOODLANDS, TX 77382-2565
(281) 825-4627
(800) 878-0301
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
02/21/2023
Last updated
02/21/2023
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