Memorial ENT Surgical Affiliates, P.a.

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

MEMORIAL ENT SURGICAL AFFILIATES, P.A.

Practice address

9901 Town Park Dr
Houston, TX 77036-2343

Phone

(713) 960-6692

Fax

(713) 960-6691

NPI assigned

Jan 23, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sourabh Sanduja

Title

Manager

Phone

(713) 960-6692

Specialties & licenses 1

Addresses

Tax ID family

Memorial ENT Surgical Affilaites PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Memorial ENT Surgical Affilaites, P.a.

  • Ambulatory Surgical Clinic/Center
  • Houston, TX
  • NPI 1558579987
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1232668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243468800000",
    "number": "1104064500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 722077",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772722077",
            "telephone_number": "713-960-6692",
            "fax_number": "713-960-6691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9901 TOWN PARK DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770362343",
            "telephone_number": "713-960-6692",
            "fax_number": "713-960-6691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL ENT SURGICAL AFFILIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-23",
        "last_updated": "2009-05-28",
        "status": "A",
        "authorized_official_last_name": "SANDUJA",
        "authorized_official_first_name": "SOURABH",
        "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": []
}

• Memorial Emergency Center, LLC
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• Memorial Endocrinology and Diabetes
• Memorial Endoscopy Center, LP
• Memorial ENT Surgical Affilaites, P.a.
• Memorial Eye, P.a.
• Memorial Eye, PA
• Memorial Eye, PA
• Memorial Eye, PA
• Memorial Family for Hospice and Palliative Care LLC

• Ambulatory Surgical Clinic/Center in Houston, TX
• Providers in Houston, TX by specialty
• Ambulatory Surgical Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.

Verify at the official NPI Registry.