Provider Demographics
NPI:1205620705
Name:HOWARD COUNTY SURGERY CENTER, LLC
Entity type:Organization
Organization Name:HOWARD COUNTY SURGERY CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:KE
Authorized Official - Middle Name:
Authorized Official - Last Name:XIE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:443-920-5550
Mailing Address - Street 1:2470 LONGSTONE LN STE M
Mailing Address - Street 2:
Mailing Address - City:MARRIOTTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21104-1515
Mailing Address - Country:US
Mailing Address - Phone:443-920-5550
Mailing Address - Fax:443-920-5551
Practice Address - Street 1:2470 LONGSTONE LN STE M
Practice Address - Street 2:
Practice Address - City:MARRIOTTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21104-1515
Practice Address - Country:US
Practice Address - Phone:443-920-5550
Practice Address - Fax:443-920-5551
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-08
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical