Organization
MEMORIAL HERMANN SURGERY CENTER PRESTON ROAD, LTD.
Active
Other names
Doctors United Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
JENETHA D MORAN (OFFICER / AUTHORIZED OFFICIA)
(972) 763-3893
Entity
Organization
Contact information
Practice address
3534 VISTA RD, PASADENA, TX 77504-1728
(713) 947-0330
(713) 947-6562
Mailing address
3534 VISTA RD, PASADENA, TX 77504-1728
(713) 947-0330
(713) 947-6562
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
130288
STATE LICENSE
TX
Enumeration date
12/22/2015
Last updated
08/05/2016
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