Provider Demographics
NPI:1558816199
Name:COMPLETE SURGERY - HOUSTON NORTHWEST LLC
Entity Type:Organization
Organization Name:COMPLETE SURGERY - HOUSTON NORTHWEST LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:KEITH
Authorized Official - Middle Name:
Authorized Official - Last Name:SPARENBERG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-474-2079
Mailing Address - Street 1:1900 NORTH LOOP W STE 600
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77018-8121
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1900 NORTH LOOP W # 610
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77018-8100
Practice Address - Country:US
Practice Address - Phone:713-253-8902
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TEXAS REGIONAL PHYSICIANS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-08-24
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical