Provider Demographics
NPI:1568884278
Name:SURGERY SPECIALTY CLINICIANS, INC.
Entity type:Organization
Organization Name:SURGERY SPECIALTY CLINICIANS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:K
Authorized Official - Last Name:CHAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-378-3000
Mailing Address - Street 1:PO BOX 5574
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:TX
Mailing Address - Zip Code:77508-5574
Mailing Address - Country:US
Mailing Address - Phone:713-378-3000
Mailing Address - Fax:713-944-3334
Practice Address - Street 1:4301 VISTA RD
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77504-2117
Practice Address - Country:US
Practice Address - Phone:713-378-3000
Practice Address - Fax:713-944-3334
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VISTA COMMUNITY MEDICAL CENTER, L.L.P.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-01-15
Last Update Date:2014-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty