Organization Active NPI

First Surgical Memorial Village

  • Ambulatory Surgical Clinic/Center
  • Houston, TX
National Provider Identifier
1922018951
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
008358 Issued in TX
Legal business name
FIRST SURGICAL MEMORIAL VILLAGE
Practice address
12727 Kimberley LN Ste 100
Houston, TX 77024-4048
Phone
(713) 337-1111
Fax
(713) 337-1112
NPI assigned
Aug 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Sylvia N. Reyes, R.N., C.A.S.C.
Title
Vice President of Clinical Services
Phone
(713) 665-1111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 008358 TX Primary

Addresses

Primary practice location

12727 Kimberley LN Ste 100
Houston, TX 77024-4048

Mailing address

12727 Kimberley LN Ste 100
Houston, TX 77024-4048
Phone (713) 337-1111

Other identifiers 1

IdentifierTypeStateIssuer
008358OtherTXTX DEPT. OF HEALTH

National Provider Directory

National Provider Directory

Locations

12727 Kimberley Ln
Ste 100
Houston, TX 77024
Phone (713) 337-1111

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922018951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12727 KIMBERLEY LN STE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770244048",
            "telephone_number": "713-337-1111",
            "fax_number": "713-337-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12727 KIMBERLEY LN STE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770244048",
            "telephone_number": "713-337-1111",
            "fax_number": "713-337-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST SURGICAL MEMORIAL VILLAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "SYLVIA",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "VICE PRESIDENT OF CLINICAL SERVICES",
        "authorized_official_telephone_number": "713-665-1111",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "R.N., C.A.S.C."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": "008358",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX DEPT. OF HEALTH",
            "identifier": "008358",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • 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.