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Organization

IMED SURGICAL OF SUGAR LAND PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JENNIFER R MYERS (CLINICAL COMPLIANCE MANAGER)
(631) 479-3496
Entity
Organization

Contact information

Practice address
6350 HIGHWAY 90A STE 700, SUGAR LAND, TX 77498-2023
(281) 946-0337
Mailing address
113 E 39TH ST, NEW YORK, NY 10016-0968
(212) 223-0716
(917) 791-9672

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary

Other

Enumeration date
09/17/2019
Last updated
09/18/2025
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