Provider Demographics
NPI:1992058838
Name:UGHS SURGICARE - THE WOODLANDS
Entity type:Organization
Organization Name:UGHS SURGICARE - THE WOODLANDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:HARMONEE
Authorized Official - Middle Name:
Authorized Official - Last Name:VICE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-375-7000
Mailing Address - Street 1:111 VISION PARK BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:SHENANDOAH
Mailing Address - State:TX
Mailing Address - Zip Code:77384-3006
Mailing Address - Country:US
Mailing Address - Phone:713-375-7100
Mailing Address - Fax:713-375-7105
Practice Address - Street 1:111 VISION PARK BLVD STE 200
Practice Address - Street 2:
Practice Address - City:SHENANDOAH
Practice Address - State:TX
Practice Address - Zip Code:77384-3006
Practice Address - Country:US
Practice Address - Phone:713-375-7100
Practice Address - Fax:713-375-7105
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-16
Last Update Date:2015-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical