Provider Demographics
NPI:1891551651
Name:BAYTOWN SURGERY CENTER, PLLC
Entity Type:Organization
Organization Name:BAYTOWN SURGERY CENTER, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JEROME
Authorized Official - Middle Name:
Authorized Official - Last Name:CARTER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:832-741-9854
Mailing Address - Street 1:720 1/2 ROLLINGBROOK DR
Mailing Address - Street 2:
Mailing Address - City:BAYTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:77521-4059
Mailing Address - Country:US
Mailing Address - Phone:281-422-8818
Mailing Address - Fax:281-422-8096
Practice Address - Street 1:720 1/2 ROLLINGBROOK DR
Practice Address - Street 2:
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77521-4059
Practice Address - Country:US
Practice Address - Phone:281-422-8818
Practice Address - Fax:281-422-8096
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-27
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical