Organization
MEMORIAL HERMANN SURGERY CENTER SUGAR LAND LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER BLACH (OFFICER/AUTHORIZED OFFICIAL)
(713) 343-0832
Entity
Organization
Contact information
Practice address
17510 W GRAND PKWY S, STE 200, SUGAR LAND, TX 77479-2645
(281) 238-1600
(281) 238-1650
Mailing address
17510 W GRAND PKWY S, STE 200, SUGAR LAND, TX 77479-2645
(281) 238-1600
(281) 238-1650
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
8395
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
170389401
—
TX
01
—
7100440572
RAILROAD MEDICARE
TX
Enumeration date
07/04/2006
Last updated
10/11/2024
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