Provider Demographics
NPI:1366521643
Name:MEDICAL AMBULATORY SURGICAL SUITES LLP
Entity type:Organization
Organization Name:MEDICAL AMBULATORY SURGICAL SUITES LLP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:O'LEARY
Authorized Official - Suffix:
Authorized Official - Credentials:MBA CASC
Authorized Official - Phone:832-201-5157
Mailing Address - Street 1:9300 KIRBY DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-2530
Mailing Address - Country:US
Mailing Address - Phone:832-201-5157
Mailing Address - Fax:
Practice Address - Street 1:9300 KIRBY DR
Practice Address - Street 2:SUITE 100
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-2530
Practice Address - Country:US
Practice Address - Phone:832-201-5157
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX008073261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXASC246Medicare ID - Type UnspecifiedINDIVIDUAL NUMBER
TXP00235231Medicare PIN
TXASC246Medicare ID - Type UnspecifiedGROUP NUMBER