Provider Demographics
NPI:1881209708
Name:PREVA SURGICAL PARTNERS CYPRESS LLC
Entity Type:Organization
Organization Name:PREVA SURGICAL PARTNERS CYPRESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:HUGH
Authorized Official - Middle Name:
Authorized Official - Last Name:SHANNONHOUSE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-559-9100
Mailing Address - Street 1:13114 FM 1960 RD W STE 118
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77065-5590
Mailing Address - Country:US
Mailing Address - Phone:713-559-9100
Mailing Address - Fax:713-583-2674
Practice Address - Street 1:13114 FM 1960 RD W STE 118
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77065-5590
Practice Address - Country:US
Practice Address - Phone:713-559-9100
Practice Address - Fax:713-583-2674
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-09
Last Update Date:2020-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty