Provider Demographics
NPI:1275898041
Name:SWEETWATER SURGERY CENTER
Entity Type:Organization
Organization Name:SWEETWATER SURGERY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:AHMAD
Authorized Official - Middle Name:H
Authorized Official - Last Name:AHMADI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-265-2639
Mailing Address - Street 1:1112 SOLDIERS FIELD DR
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-4001
Mailing Address - Country:US
Mailing Address - Phone:281-265-2639
Mailing Address - Fax:281-313-6665
Practice Address - Street 1:1112 SOLDIERS FIELD DR
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-4001
Practice Address - Country:US
Practice Address - Phone:281-265-2639
Practice Address - Fax:281-313-6665
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-09
Last Update Date:2012-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical