Foundation Surgery Affiliates of S.W. Houston LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

007215 Issued in TX

Legal business name

FOUNDATION SURGERY AFFILIATES OF S.W. HOUSTON LLC

Practice address

8111 Southwest Fwy
Houston, TX 77074-1705

Phone

(713) 272-6300

Fax

(713) 272-8532

NPI assigned

Nov 28, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Robert Lerma, MS,MBA,CASC

Title

Administrator

Phone

(713) 272-6300

Specialties & licenses 1

Addresses

Other identifiers 6

Other names 1

• Doctors' Surgical Center Doing business as

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

{
    "created_epoch": "1133136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1811970494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8111 SOUTHWEST FWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770741705",
            "telephone_number": "713-272-6300",
            "fax_number": "713-272-8532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8111 SOUTHWEST FWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770741705",
            "telephone_number": "713-272-6300",
            "fax_number": "713-272-8532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNDATION SURGERY AFFILIATES OF S.W. HOUSTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-28",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "LERMA",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "713-272-6300",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS,MBA,CASC"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": "007215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "20526",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0879868-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FACILITY LICENSE",
            "identifier": "007215",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DPS",
            "identifier": "20117145",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "ASC091",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THCIC",
            "identifier": "721500",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Doctors' Surgical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Foundation for Life
• Foundation for Orthopedic, Athletic & Reconstructive Research
• Foundation Imaging Affiliates of SW Houston, LLP
• Foundation Surgery Affiliate of the Medcenter LLC
• Foundation Surgery Affiliate of West Houston
• Foundational Aptitude Company Training
• Foundational Aptitude Company Training
• Foundations Pediatric Therapy of Houston
• Founder Care Solutions
• Founders Healthcare, LLC

• 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 Mar 7, 2023; 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.