Provider Demographics
NPI:1518171891
Name:COLORECTAL SURGICAL ASSOCIATES, LTD, L.L.P.
Entity Type:Organization
Organization Name:COLORECTAL SURGICAL ASSOCIATES, LTD, L.L.P.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BECKEY
Authorized Official - Middle Name:
Authorized Official - Last Name:PRITCHETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-790-0600
Mailing Address - Street 1:7900 FANNIN ST
Mailing Address - Street 2:SUITE 3700
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-2934
Mailing Address - Country:US
Mailing Address - Phone:713-790-0600
Mailing Address - Fax:713-790-0616
Practice Address - Street 1:7900 FANNIN ST
Practice Address - Street 2:SUITE 3700
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-2934
Practice Address - Country:US
Practice Address - Phone:713-790-0600
Practice Address - Fax:713-790-0616
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM4269174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty