Active NPI
MBC Ambulatory Surgery Center, LP
- Ophthalmologic Surgery Clinic/Center
- Humble, TX
National Provider Identifier
1508804451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmologic Surgery Clinic/Center
- License
- 007149
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 085894602 | Medicaid | TX |
Other names 1
- Mann Cataract Surgery Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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).
-
- Ambulatory Surgical Clinic/Center
- Houston, TX
- NPI 1710082680
6608859830
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- MBC Ambulatory Surgery Center LP Dba Mann Cataract Surgery Center
- Medicare certification status
- Active
National Provider Directory
National Provider Directory- Tax ID family
- Mann Cataract Surgery Center
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Ophthalmologic Surgery Clinic/Center
- Humble, TX
- NPI 1356479935
-
- Ambulatory Surgical Clinic/Center
- Houston, TX
- NPI 1710082680
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.