Provider Demographics
NPI:1346624665
Name:WESTGREEN SURGICAL CENTER LLC
Entity Type:Organization
Organization Name:WESTGREEN SURGICAL CENTER LLC
Other - Org Name:HOUSTON ORTHOPEDIC & SPINE SURGERY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:WOLFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-650-1000
Mailing Address - Street 1:750 WESTGREEN BLVD STE 103
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-2799
Mailing Address - Country:US
Mailing Address - Phone:832-650-1000
Mailing Address - Fax:281-646-9833
Practice Address - Street 1:750 WESTGREEN BLVD STE 103
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-2799
Practice Address - Country:US
Practice Address - Phone:832-650-1000
Practice Address - Fax:281-646-9833
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-16
Last Update Date:2020-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical