Organization
INTERNATIONAL CENTER FOR SURGICAL SCIENCE
Active
Other names
Pan American Healthcare Group of Texas, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA AYALA (ADMINISTRATOR)
(281) 743-7728
Entity
Organization
Contact information
Practice address
10005 S MAIN ST, HOUSTON, TX 77025-5209
(281) 833-9990
Mailing address
10005 S MAIN ST, HOUSTON, TX 77025-5209
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
130064
TX
Other
Enumeration date
12/07/2010
Last updated
12/07/2010
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