Organization
SURGICAL RENAISSANCE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAJARAH NANTEGE (EXECUTIVE OFFICER)
(713) 532-7311
Entity
Organization
Contact information
Practice address
10005 S MAIN ST, HOUSTON, TX 77025-5209
(713) 275-2800
Mailing address
PO BOX 741126, HOUSTON, TX 77274-1126
(713) 532-7311
(713) 532-7399
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
008568
TX
Other
Enumeration date
11/07/2008
Last updated
11/07/2008
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