Provider Demographics
NPI:1487771069
Name:SURGICAL CONSULTANTS OF TEXAS, PA
Entity type:Organization
Organization Name:SURGICAL CONSULTANTS OF TEXAS, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:HARVEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-790-3140
Mailing Address - Street 1:6550 FANNIN ST
Mailing Address - Street 2:SUITE 2435
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2717
Mailing Address - Country:US
Mailing Address - Phone:713-790-3140
Mailing Address - Fax:713-790-3235
Practice Address - Street 1:6550 FANNIN ST
Practice Address - Street 2:SUITE 2435
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2717
Practice Address - Country:US
Practice Address - Phone:713-790-3140
Practice Address - Fax:713-790-3235
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH4515207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX9947449OtherCIGNA
TX6226639OtherHUMANA
TX8B0591OtherBLUE CROSS BLUE SHIELD
TX5778426OtherAETNA
TX10175OtherMHHNP
TX10175OtherMHHNP
TXE23858Medicare UPIN