Provider Demographics
NPI:1871816827
Name:GRAND PARKWAY SURGERY CENTER, LLC
Entity Type:Organization
Organization Name:GRAND PARKWAY SURGERY CENTER, LLC
Other - Org Name:TEXAS SPORTS MEDICINE INSTITUTE, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LORI
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMIREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-877-0600
Mailing Address - Street 1:2100 WEST LOOP S STE 1200
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77027-3599
Mailing Address - Country:US
Mailing Address - Phone:713-877-0600
Mailing Address - Fax:
Practice Address - Street 1:7830 W GRAND PKWY S
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77406-5814
Practice Address - Country:US
Practice Address - Phone:713-877-0600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-04
Last Update Date:2010-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical