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Organization

CY FAIR SURGERY CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. SONJA CHRISTMAS (ADMINISTRATOR)
(281) 955-7194
Entity
Organization

Contact information

Practice address
11250 FALLBROOK DR, HOUSTON, TX 77065-4229
(281) 955-7194
(281) 890-0895
Mailing address
11250 FALLBROOK DR, HOUSTON, TX 77065-4229
(281) 955-7194
(281) 890-0895

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
007157
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
323739
BLUECROSS BLUESHIELD
PA
01
4442612
AETNA
TX
01
HH1348
BLUECROSS BLUESHIELD
TX
Enumeration date
07/15/2006
Last updated
08/22/2020
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