Organization
MID TOWN SURGICAL CENTER LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALICE MARIE CRAVENS (OFFICE MANAGER)
(713) 691-6000
Entity
Organization
Contact information
Practice address
2105 JACKSON ST, STE #200, HOUSTON, TX 77003
(713) 691-6000
(713) 691-1273
Mailing address
PO BOX 11810, SPRING, TX 77391
(713) 691-6000
(713) 691-1273
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
ASC007972TX
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Z04511537
—
TX
Enumeration date
11/01/2006
Last updated
08/16/2007
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