Organization
MEMORIAL VILLAGE SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SYLVIA NUNEZ REYES C.A.S.A. (V.P. CLINICAL SERVICES)
(713) 337-1111
Entity
Organization
Contact information
Practice address
12727 KIMBERLEY LN STE 100, HOUSTON, TX 77024-4048
(713) 337-1111
Mailing address
12727 KIMBERLEY LN STE 100, HOUSTON, TX 77024-4048
(713) 337-1111
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
451208
MEDICARE
TX
Enumeration date
07/24/2007
Last updated
07/24/2007
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