Organization
CRENSHAW AMBULATORY SURGICAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRACE RUBIO (BUSINESS DIRECTOR)
(832) 230-0836
Entity
Organization
Contact information
Practice address
5150 CRENSHAW ROAD, SUITE H 100, PASADENA, TX 77505-3094
(832) 230-0836
(832) 598-2793
Mailing address
5150 CRENSHAW ROAD, SUITE H 100, PASADENA, TX 77505-3094
(832) 230-0836
(832) 598-2793
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
—
TX
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
11/23/2015
Last updated
07/21/2022
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