Organization
SOUTH TEXAS SURGERY MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHOBHA GUPTA (AUTHORIZED OFFICER)
(866) 511-9060
Entity
Organization
Contact information
Practice address
2646 S LOOP W STE 390, HOUSTON, TX 77054-5615
(713) 839-7555
(281) 201-4560
Mailing address
5318 WESLAYAN ST # 175, HOUSTON, TX 77005-1048
(866) 511-9060
(866) 511-9060
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0048JH
BC/BS
TX
Enumeration date
10/17/2007
Last updated
12/04/2008
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