Organization Active NPI

MBC Ambulatory Surgery Center LP

  • Ophthalmologic Surgery Clinic/Center
  • Humble, TX
National Provider Identifier
1356479935
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X
Legal business name
MBC AMBULATORY SURGERY CENTER LP
Practice address
18850 S Memorial Dr
5115 Main St. #300 Houston, Texas 77002
Humble, TX 77338-4288
Phone
(713) 275-2457
Fax
(713) 275-2466
NPI assigned
Mar 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

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

Authorized official

Name
Jill Rosales
Title
Credentialing
Phone
(713) 275-2457

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmologic Surgery Clinic/Center 261QS0132X Primary

Addresses

Primary practice location

18850 S Memorial Dr
5115 Main St. #300 Houston, Texas 77002
Humble, TX 77338-4288

Mailing address

PO Box 4346
Dept 368
Houston, TX 77210-4346
Phone (713) 275-2457

Other identifiers 2

IdentifierTypeStateIssuer
HH1286OtherTXBLUE CROSS
ASC354OtherTXMEDICARE PTAN

Other names 1

  • Mann Cataract Surgery Center Main Humble Other name

National Provider Directory

National Provider Directory
Tax ID family
Mann Cataract Surgery Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

5115 Main St
Ste 300
Houston, TX 77002
Phone (713) 275-2457

NPI Registry JSON

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756252800000",
    "number": "1356479935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4346",
            "address_2": "DEPT 368",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772104346",
            "telephone_number": "713-275-2457",
            "fax_number": "713-275-2466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18850 S MEMORIAL DR",
            "address_2": "5115 MAIN ST. #300 HOUSTON, TEXAS 77002",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773384288",
            "telephone_number": "713-275-2457",
            "fax_number": "713-275-2466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MBC AMBULATORY SURGERY CENTER LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A",
        "authorized_official_last_name": "ROSALES",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "713-275-2457"
    },
    "taxonomies": [
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "HH1286",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "ASC354",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mann Cataract Surgery Center Main Humble",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Humble, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; 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.