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Organization

FOUNDATION SURGERY AFFILIATES OF S.W. HOUSTON LLC

Active
Other names
Doctors' Surgical Center
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ROBERT LERMA MS,MBA,CASC (ADMINISTRATOR)
(713) 272-6300
Entity
Organization

Contact information

Practice address
8111 SOUTHWEST FWY, HOUSTON, TX 77074-1705
(713) 272-6300
(713) 272-8532
Mailing address
8111 SOUTHWEST FWY, HOUSTON, TX 77074-1705
(713) 272-6300
(713) 272-8532

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
007215
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
007215
FACILITY LICENSE
TX
05
0879868-01
TX
01
20117145
DPS
TX
01
20526
PHARMACY LICENSE
TX
01
721500
THCIC
01
ASC091
MEDICARE
TX
Enumeration date
11/28/2005
Last updated
03/07/2023
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