Provider Demographics
NPI:1609047802
Name:SURGICAL ADVANCED SPECIALTY CENTER LL LTD., L.L.P.
Entity Type:Organization
Organization Name:SURGICAL ADVANCED SPECIALTY CENTER LL LTD., L.L.P.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:BRIAN
Authorized Official - Last Name:HARKINS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-351-5409
Mailing Address - Street 1:455 SCHOOL ST
Mailing Address - Street 2:SUITE 10
Mailing Address - City:TOMBALL
Mailing Address - State:TX
Mailing Address - Zip Code:77375-4595
Mailing Address - Country:US
Mailing Address - Phone:281-351-5409
Mailing Address - Fax:281-351-2803
Practice Address - Street 1:455 SCHOOL ST
Practice Address - Street 2:SUITE 10
Practice Address - City:TOMBALL
Practice Address - State:TX
Practice Address - Zip Code:77375-4595
Practice Address - Country:US
Practice Address - Phone:281-351-5409
Practice Address - Fax:281-351-2803
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-14
Last Update Date:2022-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK2483208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty