Organization Active NPI

MBC Ambulatory Surgery Center, LP

  • Ophthalmologic Surgery Clinic/Center
  • Humble, TX
National Provider Identifier
1508804451
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X
License
007149 Issued in TX
Legal business name
MBC AMBULATORY SURGERY CENTER, LP
Practice address
18850 S Memorial Dr
Humble, TX 77338-4288
Phone
(713) 275-2457
Fax
(713) 275-2466
NPI assigned
Jun 3, 2006
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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 007149 TX
Ophthalmologic Surgery Clinic/Center 261QS0132X 007149 TX Primary

Addresses

Primary practice location

18850 S Memorial Dr
Humble, TX 77338-4288

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
085894602MedicaidTX

Other names 1

  • Mann Cataract Surgery Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040609001182 TX Part B Supplier - Ambulatory Surgical Center 6608859830 Practice locations: Humble, TX

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
MBC Ambulatory Surgery Center LP Dba Mann Cataract Surgery CenterCCN 45C0001074
Medicare certification status
ActiveFrom the Provider of Services file

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.

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756252800000",
    "number": "1508804451",
    "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",
            "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": "2006-06-03",
        "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": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": "007149",
            "primary": false
        },
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": "TX",
            "license": "007149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "085894602",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mann Cataract Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.