Organization
MEMORIAL CITY SURGICAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAYRIM RIOS PEREZ MD (OWNER)
(713) 785-5007
Entity
Organization
Contact information
Practice address
902 FROSTWOOD DR STE 265, HOUSTON, TX 77024-2422
(713) 785-5007
Mailing address
902 FROSTWOOD DR STE 265, HOUSTON, TX 77024-2422
(713) 785-5007
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003106287
NPI
TX
05
—
419091001
—
TX
01
—
S6923
MEDICAL LICENSE
TX
Enumeration date
06/13/2023
Last updated
08/09/2023
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