Provider Demographics
NPI:1952760092
Name:NORTHWEST HOUSTON SURGERY CENTER, LLC.
Entity Type:Organization
Organization Name:NORTHWEST HOUSTON SURGERY CENTER, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMAL
Authorized Official - Middle Name:
Authorized Official - Last Name:ANAIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-712-0030
Mailing Address - Street 1:PO BOX 840188
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77284-0188
Mailing Address - Country:US
Mailing Address - Phone:562-712-0030
Mailing Address - Fax:
Practice Address - Street 1:16100 CAIRNWAY DR
Practice Address - Street 2:STE 100
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77084-3562
Practice Address - Country:US
Practice Address - Phone:562-712-0030
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-17
Last Update Date:2016-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental