Organization
MEMORIAL HERMANN SURGERY CENTER PRESTON ROAD, LTD.
Active
Other names
Doctors United Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS CRAFTS (OFFICER, AUTHORIZED OFFICIAL)
(832) 729-4009
Entity
Organization
Contact information
Practice address
5146 PRESTON AVE, PASADENA, TX 77505-2054
(281) 481-9303
(281) 481-4263
Mailing address
5146 PRESTON AVE, PASADENA, TX 77505-2054
(281) 481-9303
(281) 481-4263
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
007115
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
490004300
RAILROAD MEDICARE
TX
05
—
87973601
—
TX
Enumeration date
06/08/2005
Last updated
10/11/2024
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