Organization
PREVA SURGICAL PARTNERS CYPRESS LLC
Active
Other names
IMPERIAL SURGERY CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HUGH SHANNONHOUSE (CEO)
(713) 559-9100
Entity
Organization
Contact information
Practice address
13114 FM 1960 RD W STE 118, HOUSTON, TX 77065-5590
(713) 559-9100
(713) 583-2674
Mailing address
13114 FM 1960 RD W STE 118, HOUSTON, TX 77065-5590
(713) 559-9100
(713) 583-2674
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
09/09/2020
Last updated
09/09/2020
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