Provider Demographics
NPI:1952740797
Name:DA VINCI SURGERY CENTER LLC
Entity Type:Organization
Organization Name:DA VINCI SURGERY CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SHALINI
Authorized Official - Middle Name:
Authorized Official - Last Name:AGGARWAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-255-3902
Mailing Address - Street 1:5116 BISSONNET ST
Mailing Address - Street 2:#315
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-4007
Mailing Address - Country:US
Mailing Address - Phone:713-333-7982
Mailing Address - Fax:713-588-8618
Practice Address - Street 1:24727 TOMBALL PKWY
Practice Address - Street 2:#100
Practice Address - City:TOMBALL
Practice Address - State:TX
Practice Address - Zip Code:77375-7877
Practice Address - Country:US
Practice Address - Phone:281-255-3902
Practice Address - Fax:713-391-8340
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-14
Last Update Date:2013-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical