Provider Demographics
NPI:1356782924
Name:SURGICAL AND CLINICAL ASSOCIATES OF TEXAS
Entity type:Organization
Organization Name:SURGICAL AND CLINICAL ASSOCIATES OF TEXAS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:M
Authorized Official - Last Name:HAAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-790-0600
Mailing Address - Street 1:PO BOX 541476
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77254-1476
Mailing Address - Country:US
Mailing Address - Phone:713-568-5616
Mailing Address - Fax:713-795-5616
Practice Address - Street 1:6560 FANNIN
Practice Address - Street 2:SUITE 1404
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2706
Practice Address - Country:US
Practice Address - Phone:713-568-5616
Practice Address - Fax:713-795-5616
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-11
Last Update Date:2013-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP6990208600000X
TXP5942208600000X
TXP6643208600000X
208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty