Active NPI
Harbour Place, LLC
- Ambulatory Surgical Clinic/Center
- Sugar Land, TX
National Provider Identifier
1003142258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- HARBOUR PLACE, LLC
- Practice address
- 17510 W Grand Pkwy
Suite 440
Sugar Land, TX 77479-2645 - Phone
- (713) 960-6692
- NPI assigned
- Oct 22, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kraig Killough
- Title
- Manager
- Phone
- (713) 960-6692
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
17510 W Grand Pkwy
Suite 440
Sugar Land, TX 77479-2645
Mailing address
PO Box 722159
Houston, TX 77272-2159
National Provider Directory
National Provider DirectoryLocations
17510 W Grand Pkwy S
Ste 440
Sugar Land, TX 77479
Phone (713) 772-3338
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256169600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1256169600000",
"number": "1003142258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 722159",
"city": "HOUSTON",
"state": "TX",
"postal_code": "772722159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17510 W GRAND PKWY",
"address_2": "SUITE 440",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774792645",
"telephone_number": "713-960-6692"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HARBOUR PLACE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-10-22",
"last_updated": "2009-10-22",
"status": "A",
"authorized_official_last_name": "KILLOUGH",
"authorized_official_first_name": "KRAIG",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "713-960-6692"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sugar Land, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.