Provider Demographics
NPI:1962538959
Name:FIRST SURGICAL WOODLANDS, LP
Entity type:Organization
Organization Name:FIRST SURGICAL WOODLANDS, LP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:GLENDA
Authorized Official - Middle Name:
Authorized Official - Last Name:CADY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-419-1117
Mailing Address - Street 1:26710 I-45 NORTH FREEWAY
Mailing Address - Street 2:SUITE B-100
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77386
Mailing Address - Country:US
Mailing Address - Phone:281-419-1117
Mailing Address - Fax:281-419-1135
Practice Address - Street 1:26710 I-45 NORTH
Practice Address - Street 2:SUITE B100
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77386
Practice Address - Country:US
Practice Address - Phone:281-419-1117
Practice Address - Fax:281-419-1135
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-26
Last Update Date:2013-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8288261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX45C0001411Medicare ID - Type Unspecified