Provider Demographics
NPI:1194900837
Name:FIRST SURGICAL SOUTHWEST, L.P.
Entity type:Organization
Organization Name:FIRST SURGICAL SOUTHWEST, L.P.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VICE-PRESIDENT OF CLINICAL SERVICES
Authorized Official - Prefix:MS
Authorized Official - First Name:SYLVIA
Authorized Official - Middle Name:N
Authorized Official - Last Name:REYES
Authorized Official - Suffix:
Authorized Official - Credentials:RN, CASC
Authorized Official - Phone:713-665-1111
Mailing Address - Street 1:6699 CHIMNEY ROCK RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77081-5358
Mailing Address - Country:US
Mailing Address - Phone:713-665-1111
Mailing Address - Fax:713-665-4146
Practice Address - Street 1:6699 CHIMNEY ROCK RD
Practice Address - Street 2:SUITE 200
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77081-5358
Practice Address - Country:US
Practice Address - Phone:713-665-1111
Practice Address - Fax:713-665-4146
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-31
Last Update Date:2007-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPENDING261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PENDINGOtherPENDING