Provider Demographics
NPI:1497269005
Name:SURGERY CENTER OF THE WOODLANDS, LLC
Entity Type:Organization
Organization Name:SURGERY CENTER OF THE WOODLANDS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:LINDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-653-4730
Mailing Address - Street 1:10847 KUYKENDAHL RD STE 150
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77382-2934
Mailing Address - Country:US
Mailing Address - Phone:281-292-5620
Mailing Address - Fax:
Practice Address - Street 1:10847 KUYKENDAHL RD STE 150
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77382-2934
Practice Address - Country:US
Practice Address - Phone:281-292-5620
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-20
Last Update Date:2017-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical