1114130838 NPI number — TEXAS CITY SURGICAL PA

Table of content: DR. SHERRIE YVONNE RINE D.C. (NPI 1225007214)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1114130838 NPI number — TEXAS CITY SURGICAL PA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TEXAS CITY SURGICAL PA
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1114130838
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/24/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
200 HUGHES RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DICKINSON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77539-7332
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
281-337-0730
Provider Business Mailing Address Fax Number:
281-614-5404

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
200 HUGHES RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DICKINSON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77539-7332
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
281-337-0730
Provider Business Practice Location Address Fax Number:
281-614-5404
Provider Enumeration Date:
05/08/2007

Additional Information

Authorized Official

Authorized Official Last Name:
VUONG
Authorized Official First Name:
DUC
Authorized Official Middle Name:
C
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
281-337-0730

Provider Taxonomy Codes

  • Taxonomy code: 208600000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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