Organization
GRAND TEXAS SURGERY CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IFEOLUMIPO SOFOLA (MANAGING MEMBER)
(713) 532-7311
Entity
Organization
Contact information
Practice address
1475 FM 1960 BYPASS ROAD EAST, HUMBLE, TX 77338
(281) 964-2109
Mailing address
5120 WOODWAY DR., SUITE 7012, HOUSTON, TX 77056
(713) 532-7311
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Enumeration date
07/23/2014
Last updated
07/23/2014
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