MEMORIAL HERMANN SURGERY CENTER PRESTON ROAD, LTD.
Surgery Yellow Pages
Pasadena, Texas
Provider NPI: 1619971504
Organization Information:Organization Name: MEMORIAL HERMANN SURGERY CENTER PRESTON ROAD, LTD.
Practice Location:
3534 VISTA RD PASADENA, TX 77504 US
Tel: 713-947-0330 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
3534 VISTA RD PASADENA, TX 77504 US
Tel: 713-947-0330 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 261QA1903X | Ambulatory Health Care Facilities Clinic/Center Ambulatory Surgical | TX | 007116 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
RAILROAD MEDICARE | 490004677 | TX | 01 |
10021532 | TX | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin