Provider Demographics
NPI:1659533974
Name:SURGICAL GROUP OF THE WOODLANDS
Entity Type:Organization
Organization Name:SURGICAL GROUP OF THE WOODLANDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:PETAR
Authorized Official - Middle Name:
Authorized Official - Last Name:TURCINOVIC
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-419-8400
Mailing Address - Street 1:9200 PINECROFT
Mailing Address - Street 2:SUITE 250
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77380
Mailing Address - Country:US
Mailing Address - Phone:281-419-8400
Mailing Address - Fax:281-292-1972
Practice Address - Street 1:9200 PINECROFT DR
Practice Address - Street 2:SUITE 250
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-3286
Practice Address - Country:US
Practice Address - Phone:281-419-8400
Practice Address - Fax:281-292-1972
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-27
Last Update Date:2008-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty