Provider Demographics
NPI:1649575796
Name:RIVER POINTE SURGICAL CENTER, L.P.
Entity Type:Organization
Organization Name:RIVER POINTE SURGICAL CENTER, L.P.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP OF CLINICAL SERVICES
Authorized Official - Prefix:MRS
Authorized Official - First Name:SYLVIA
Authorized Official - Middle Name:NUNEZ
Authorized Official - Last Name:HERRERA
Authorized Official - Suffix:
Authorized Official - Credentials:RN,CASC
Authorized Official - Phone:281-822-1155
Mailing Address - Street 1:21155 SOUTHWEST FREEWAY
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77469
Mailing Address - Country:US
Mailing Address - Phone:281-822-1155
Mailing Address - Fax:832-586-9100
Practice Address - Street 1:21155 SOUTHWEST FWY
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77469
Practice Address - Country:US
Practice Address - Phone:281-822-1155
Practice Address - Fax:832-586-9100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-21
Last Update Date:2013-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPENDING261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical