Provider Demographics
NPI:1982999595
Name:CYPRESS SURGERY CENTER
Entity Type:Organization
Organization Name:CYPRESS SURGERY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SPANN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:501-219-8000
Mailing Address - Street 1:2200 N RODNEY PARHAM RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72212-4140
Mailing Address - Country:US
Mailing Address - Phone:501-219-8000
Mailing Address - Fax:501-219-9144
Practice Address - Street 1:2200 N RODNEY PARHAM RD
Practice Address - Street 2:SUITE 200
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72212-4140
Practice Address - Country:US
Practice Address - Phone:501-219-8000
Practice Address - Fax:501-219-9144
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-10
Last Update Date:2011-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical