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Organization

AMHERST SURGICAL SPECIALISTS PA

Active
Other names
HOUSTON SURGICAL SPECIALISTS PA
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROBERT GEORGE MARVIN M.D. (GENERAL SURGEON)
(713) 993-7124
Entity
Organization

Contact information

Practice address
3429 W HOLCOMBE BLVD, HOUSTON, TX 77025-1311
(713) 993-7124
(713) 963-0476
Mailing address
3429 W HOLCOMBE BLVD, HOUSTON, TX 77025-1311
(713) 993-7124
(713) 963-0476

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
J7071
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0032EZ
BLUE CROSS BLUE SHIELD
TX
01
00897T
MEDICARE
TX
05
156665502
TN
Enumeration date
10/31/2007
Last updated
07/25/2012
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