Provider Demographics
NPI:1457876898
Name:MVP SPECIALIST SURGERY CENTER, LLC
Entity Type:Organization
Organization Name:MVP SPECIALIST SURGERY CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GOVERNING MEMBER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JUANITTA
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANCIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-244-5721
Mailing Address - Street 1:PO BOX 735192
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75373-5192
Mailing Address - Country:US
Mailing Address - Phone:713-244-5721
Mailing Address - Fax:713-487-1523
Practice Address - Street 1:7501 FANNIN ST STE 200
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-1953
Practice Address - Country:US
Practice Address - Phone:713-244-5721
Practice Address - Fax:713-487-1523
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-07
Last Update Date:2020-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical