1649575796 NPI number — RIVER POINTE SURGICAL CENTER, L.P.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1649575796 NPI number — RIVER POINTE SURGICAL CENTER, L.P.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
RIVER POINTE SURGICAL CENTER, L.P.
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:
1649575796
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/16/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
21155 SOUTHWEST FREEWAY
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
RICHMOND
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77469
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
281-822-1155
Provider Business Mailing Address Fax Number:
832-586-9100

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
21155 SOUTHWEST FWY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
RICHMOND
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77469
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
281-822-1155
Provider Business Practice Location Address Fax Number:
832-586-9100
Provider Enumeration Date:
01/21/2011

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
HERRERA
Authorized Official First Name:
SYLVIA
Authorized Official Middle Name:
NUNEZ
Authorized Official Title or Position:
VP OF CLINICAL SERVICES
Authorized Official Telephone Number:
281-822-1155

Provider Taxonomy Codes

  • Taxonomy code: 261QA1903X , with the licence number:  PENDING , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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