Organization
WESTSIDE SURGICAL HOSPITAL, LLC
Active
Other names
WESTSIDE SURGICAL HOSPITAL, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW OKORO (DIRECTOR OF PHARMACY)
(832) 865-0795
Entity
Organization
Contact information
Practice address
4200 TWELVE OAKS DR, HOUSTON, TX 77027-6812
(832) 865-0795
(281) 964-2149
Mailing address
4200 TWELVE OAKS DR, HOUSTON, TX 77027-6812
(832) 865-0795
(281) 964-2195
Taxonomy
Speciality
Code
Description
License number
State
332000000X
Military/U.S. Coast Guard Pharmacy
—
—
332BN1400X
Nursing Facility Supplies (DME)
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
3336I0012X
Institutional Pharmacy
Primary
28383
TX
3336L0003X
Long Term Care Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
—
—
3336M0003X
Managed Care Organization Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2166699
PK
—
Enumeration date
12/13/2016
Last updated
12/13/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us