Provider Demographics
NPI:1710186614
Name:AL SURGERY PA
Entity Type:Organization
Organization Name:AL SURGERY PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:FEDERER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-691-6000
Mailing Address - Street 1:PO BOX 11810
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77391-1810
Mailing Address - Country:US
Mailing Address - Phone:713-691-6000
Mailing Address - Fax:713-691-1273
Practice Address - Street 1:2105 JACKSON ST STE 200
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77003-5850
Practice Address - Country:US
Practice Address - Phone:713-691-6000
Practice Address - Fax:713-691-1273
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-12
Last Update Date:2007-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical