Provider Demographics
NPI:1386119253
Name:CHRISTUS AMBULATORY SURGERY CENTER AT OLYMPIA HILLS LLC
Entity type:Organization
Organization Name:CHRISTUS AMBULATORY SURGERY CENTER AT OLYMPIA HILLS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GARY
Authorized Official - Middle Name:K
Authorized Official - Last Name:RUFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-282-2637
Mailing Address - Street 1:100 NE LOOP 410 STE 475
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78216-4720
Mailing Address - Country:US
Mailing Address - Phone:210-805-3203
Mailing Address - Fax:210-824-3092
Practice Address - Street 1:13525 CENTERBROOK STE 100
Practice Address - Street 2:
Practice Address - City:UNIVERSAL CITY
Practice Address - State:TX
Practice Address - Zip Code:78148-2734
Practice Address - Country:US
Practice Address - Phone:210-499-6790
Practice Address - Fax:210-265-1613
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-08
Last Update Date:2024-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical