Vip Surg ASC, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

VIP SURG ASC, LLC

Doing business as

VIP Surgical Center

Practice address

1246 N FM 3083 Rd W Ste a
Conroe, TX 77304-5340

Phone

(936) 441-2233

NPI assigned

Dec 13, 2016

Last updated

Jun 14, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Melissa Davidson

Title

Clinical Administrator

Phone

(936) 441-2233

Specialties & licenses 1

Addresses

Other names 1

• VIP Surgical Center Doing business as

Listed as

Vip Surg ASC LLCCCN 45C0001652

Medicare certification status

Terminated Voluntary: merger or closure, Jul 31, 2025From the Provider of Services file

Locations

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

{
    "created_epoch": "1481587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623628800000",
    "number": "1255875126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1246 N FM 3083 RD W STE A",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773045340",
            "telephone_number": "936-441-2233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1246 N FM 3083 RD W STE A",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773045340",
            "telephone_number": "936-441-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIP SURG ASC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-13",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A",
        "authorized_official_last_name": "DAVIDSON",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "CLINICAL ADMINISTRATOR",
        "authorized_official_telephone_number": "936-441-2233"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VIP Surgical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maylah Villamiel, OT
• Becky Villarreal
• Melissa Villarreal, LPC
• Willie M Villarreal, DNP, FNP, MSN, RNFA
• Emma Villegas
• Virtual Warrior Wellness, PLLC
• Tracy L Virtue, PHARM.D.
• Vis Procedure Center, PA
• Vision Trends - Conroe PA (Eye Trends)
• Visionworks, Inc. (Visionworks)

• Ambulatory Surgical Clinic/Center in Conroe, TX
• Providers in Conroe, 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 Jun 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.