Organization
PARKSIDE SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NELSON ATEMBE TAJONG M.D. (PRESIDENT)
(936) 760-7660
Entity
Organization
Contact information
Practice address
690 S LOOP 336 W, SUITE 130, CONROE, TX 77304-3319
(936) 760-7660
(936) 760-7661
Mailing address
690 S LOOP 336 W, SUITE 130, CONROE, TX 77304-3319
(936) 760-7660
(936) 760-7661
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
01/21/2015
Last updated
02/04/2016
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