Provider Demographics
NPI:1851595177
Name:HOUSTON ORTHOPEDIC SURGERY CENTER, LLC
Entity Type:Organization
Organization Name:HOUSTON ORTHOPEDIC SURGERY CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:BECKY
Authorized Official - Middle Name:E
Authorized Official - Last Name:MANN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:478-971-2270
Mailing Address - Street 1:3051 WATSON BLVD
Mailing Address - Street 2:DUITE 800
Mailing Address - City:WARNER ROBINS
Mailing Address - State:GA
Mailing Address - Zip Code:31093-8536
Mailing Address - Country:US
Mailing Address - Phone:478-971-2270
Mailing Address - Fax:478-953-4564
Practice Address - Street 1:3051 WATSON BLVD
Practice Address - Street 2:DUITE 800
Practice Address - City:WARNER ROBINS
Practice Address - State:GA
Practice Address - Zip Code:31093-8536
Practice Address - Country:US
Practice Address - Phone:478-971-2270
Practice Address - Fax:478-953-4564
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical