Provider Demographics
NPI:1992883151
Name:TEXAS ENDOSURGICAL ASSOCIATES, P. A.
Entity type:Organization
Organization Name:TEXAS ENDOSURGICAL ASSOCIATES, P. A.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:MANUEL
Authorized Official - Last Name:PINA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-422-9811
Mailing Address - Street 1:PO BOX 2111
Mailing Address - Street 2:
Mailing Address - City:BAYTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:77521
Mailing Address - Country:US
Mailing Address - Phone:281-422-9811
Mailing Address - Fax:281-420-1262
Practice Address - Street 1:2530 W HOLCOMBE BLVD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-1904
Practice Address - Country:US
Practice Address - Phone:281-422-9811
Practice Address - Fax:281-420-1262
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-02
Last Update Date:2023-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty