Provider Demographics
NPI:1841397171
Name:SUMMIT ASC, LLP
Entity Type:Organization
Organization Name:SUMMIT ASC, LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:J
Authorized Official - Last Name:GARRETT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-621-6245
Mailing Address - Street 1:4126 SW FREEWAY
Mailing Address - Street 2:SUITE 108
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77027-7318
Mailing Address - Country:US
Mailing Address - Phone:713-622-4995
Mailing Address - Fax:713-622-6246
Practice Address - Street 1:4126 SW FREEWAY
Practice Address - Street 2:SUITE 108
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77027-7318
Practice Address - Country:US
Practice Address - Phone:713-622-4995
Practice Address - Fax:713-622-6246
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2010-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX007253261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX142453301Medicaid
TX490005016OtherRAILROAD MEDICARE
TXHH1563OtherBLUE CROSS BLUE SHIELD
TXHH1563OtherBLUE CROSS BLUE SHIELD