Provider Demographics
NPI:1487604500
Name:CYPRESSWOOD SURGERY CENTER LLC
Entity type:Organization
Organization Name:CYPRESSWOOD SURGERY CENTER LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:DONALD
Authorized Official - Last Name:BARHORST
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:832-953-2280
Mailing Address - Street 1:9920 CYPRESSWOOD DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77070-3400
Mailing Address - Country:US
Mailing Address - Phone:281-895-1530
Mailing Address - Fax:346-275-2327
Practice Address - Street 1:9920 CYPRESSWOOD DR
Practice Address - Street 2:SUITE A
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-3400
Practice Address - Country:US
Practice Address - Phone:281-895-1530
Practice Address - Fax:346-275-2327
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-11
Last Update Date:2022-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX45C0001417Medicare ID - Type Unspecified