Provider Demographics
NPI:1578817847
Name:ENZO MEDICAL SERVICES,LP
Entity Type:Organization
Organization Name:ENZO MEDICAL SERVICES,LP
Other - Org Name:WOODLANDS AMBULATORY SURGERY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ASIT
Authorized Official - Middle Name:J
Authorized Official - Last Name:CHOKSI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-348-4000
Mailing Address - Street 1:9201 PINECROFT DR
Mailing Address - Street 2:
Mailing Address - City:SHENANDOAH
Mailing Address - State:TX
Mailing Address - Zip Code:77380-3222
Mailing Address - Country:US
Mailing Address - Phone:281-348-4008
Mailing Address - Fax:832-442-5382
Practice Address - Street 1:10710 KUYKENDAHL RD
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77381-2695
Practice Address - Country:US
Practice Address - Phone:281-348-4008
Practice Address - Fax:832-553-7469
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ENZO MEDICAL SERVICES, LP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-11-07
Last Update Date:2012-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical