Organization · Type 2 NPI
Jackson Street Surgical Center LLC
Ambulatory Surgical Clinic/Center · Houston, TX
NPI number
1245690916
Active
Practice location
2015 Jackson Street
Houston, TX 77003
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Surgical Clinic/Center Primary | 261QA1903X | 130278 (TX) |
Ambulatory Surgical Clinic/Center: Definition to come...
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About NPI 1245690916
Jackson Street Surgical Center LLC's National Provider Identifier is 1245690916, issued on Feb 24, 2016. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Houston, TX. The record was last updated on Aug 24, 2016.