Mid Town Surgical Center LLP

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

ASC007972TX Issued in TX

Legal business name

MID TOWN SURGICAL CENTER LLP

Practice address

2105 Jackson St
Ste #200
Houston, TX 77003

Phone

(713) 691-6000

Fax

(713) 691-1273

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Alice Marie Cravens

Title

Office Manager

Phone

(713) 691-6000

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187222400000",
    "number": "1730266099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11810",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "77391",
            "telephone_number": "713-691-6000",
            "fax_number": "713-691-1273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 JACKSON ST",
            "address_2": "STE #200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77003",
            "telephone_number": "713-691-6000",
            "fax_number": "713-691-1273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID TOWN SURGICAL CENTER LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-08-16",
        "status": "A",
        "authorized_official_last_name": "CRAVENS",
        "authorized_official_first_name": "ALICE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "713-691-6000",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": "ASC007972TX",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Z04511537",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Henry Valdez Micua, PT
• Cherry Pai Micubo
• Mid Town EMS Inc
• Mid Town Endoscopy Center LLP
• Mid Town OB GYN Associates, Inc
• Mid-City Healthcare, Inc.
• Mid-Town Anesthesia Group PLLC
• Mid-Town Mat, Inc.
• Mid-West Health Services Inc.
• Midas Care EMS Inc

• 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 Aug 16, 2007; 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.