Organization
K S MANAGEMENT SERVICES LLC
Active
Other names
Kelsey-Seybold ASC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SPENCER BERTHELSEN M.D. (MANAGING DIRECTOR)
(713) 442-0000
Entity
Organization
Contact information
Practice address
2727 W HOLCOMBE BLVD, ASC, 3RD FLOOR, HOUSTON, TX 77025-1669
(713) 442-3300
(713) 442-3332
Mailing address
2617C W HOLCOMBE BLVD, PMB 312, HOUSTON, TX 77025-1601
(713) 442-3300
(713) 442-5833
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
007124
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HH1504
BCBS PROVIDER ID
TX
Enumeration date
07/04/2006
Last updated
08/19/2009
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