Preva Surgical Partners Cypress LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

PREVA SURGICAL PARTNERS CYPRESS LLC

Practice address

13114 FM 1960 Rd W Ste 118
Houston, TX 77065-5590

Phone

(713) 559-9100

Fax

(713) 583-2674

NPI assigned

Sep 9, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Hugh Shannonhouse

Title

Ceo

Phone

(713) 559-9100

Specialties & licenses 1

Addresses

Other names 1

• IMPERIAL SURGERY CENTER Doing business as

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

{
    "created_epoch": "1599609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599609600000",
    "number": "1881209708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13114 FM 1960 RD W STE 118",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770655590",
            "telephone_number": "713-559-9100",
            "fax_number": "713-583-2674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13114 FM 1960 RD W STE 118",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770655590",
            "telephone_number": "713-559-9100",
            "fax_number": "713-583-2674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREVA SURGICAL PARTNERS CYPRESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-09",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A",
        "authorized_official_last_name": "SHANNONHOUSE",
        "authorized_official_first_name": "HUGH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "713-559-9100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IMPERIAL SURGERY CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Surgery Physician in Houston, TX
• Providers in Houston, TX by specialty
• Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.