Provider Demographics
NPI:1659422467
Name:TRUE VIEW SURGERY CENTER ONE, L.P.
Entity Type:Organization
Organization Name:TRUE VIEW SURGERY CENTER ONE, L.P.
Other - Org Name:TOWN PARK SURGERY CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SOURABH
Authorized Official - Middle Name:
Authorized Official - Last Name:SANDUJA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-773-0556
Mailing Address - Street 1:9901 TOWN PARK
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036
Mailing Address - Country:US
Mailing Address - Phone:713-773-0556
Mailing Address - Fax:713-960-6665
Practice Address - Street 1:9901 TOWN PARK DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036
Practice Address - Country:US
Practice Address - Phone:713-773-0556
Practice Address - Fax:713-960-6665
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-16
Last Update Date:2015-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX008168261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXHH061AOtherBLUE CROSS BLUE SHIELD #
TXASC261Medicare ID - Type UnspecifiedMEDICARE #