College Park Surgery Center

NPI 1104228758 - Clinic/Center - 261Q00000X

NPI Details
NPI 1104228758
Enumeration Date 09/25/2014
Last Updated 02/13/2015
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name PHRS PHRS
Position GENERAL PARTNER
Phone (361) 652-0025
Fax
Practice Location
3074 COLLEGE PARK DR
CONROE TX, 77384-8002, US
Phone (361) 652-0025
Fax
Business Location
PO BOX 3525
VICTORIA TX, 77903-3525, US
Phone (361) 652-0025
Fax
Toxanomy
Taxonomy Code 261Q00000X
License State
License Number
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According to our database, College Park Surgery Center NPI is 1104228758, taxonomy code is 261Q00000X College Park Surgery Center physically located at 3074 College Park Dr, Conroe TX, 77384-8002. NPI Number 1033115704 has the healthcare provider type.

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1104228758 NPI number is provided on an as is basis without warranty of any kind. 1104228758 is maintained by the National Plan & Provider Enumeration System. The contents of College Park Surgery Center are for informational purposes only.