St Michaels Center for Special Surgery LTD

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

008261 Issued in TX

Legal business name

ST MICHAELS CENTER FOR SPECIAL SURGERY LTD

Practice address

3726 Dacoma St
Houston, TX 77092-8906

Phone

(713) 812-1612

NPI assigned

Mar 19, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Randolph Alphonse Lopez, M.D.,

Title

Medical Director

Phone

(713) 812-1612

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871617563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 924369",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772924369",
            "telephone_number": "713-812-1612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3726 DACOMA ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770928906",
            "telephone_number": "713-812-1612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST MICHAELS CENTER FOR SPECIAL SURGERY LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "RANDOLPH",
        "authorized_official_middle_name": "ALPHONSE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "713-812-1612",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D.,"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": "008261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• St Michael Healthcare Services, Inc.
• St Michael Medical Clinic P a
• St Michaels Hospital & Healthcare Group LLC
• St Michaels Labs Inc
• Christina St Michel, M.D.
• St Nicholas Dental PA
• St Nicholas, 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 22, 2020; 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.