Organization
WESTSIDE SURGICAL HOSPITAL, LLC
Active
Other names
Westside Surgical Hospital - Laboratory
Organization subpart
No
Provider details
NPI number
Authorized official
OMAR KIGGUNDU (VICE PRESIDENT)
(713) 660-1711
Entity
Organization
Contact information
Practice address
4200 TWELVE OAKS DR, HOUSTON, TX 77027-6812
(713) 621-5010
Mailing address
5120 WOODWAY DR STE 7012, HOUSTON, TX 77056-1791
(713) 660-1700
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
06/28/2018
Last updated
06/28/2018
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