Organization · Type 2 NPI
Lake Travis Surgical Associates PA
Ambulatory Surgical Clinic/Center · Houston, TX
NPI number
1942483128
Active
Practice location
9300 Kirby Drive, Suite 100
Houston, TX 77054
Fax (832) 201-5167
Mailing address
PO Box 1759, Dept 765
Houston, TX 77251-1759
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Surgical Clinic/Center Primary | 261QA1903X | None listed |
Ambulatory Surgical Clinic/Center: Definition to come...
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About NPI 1942483128
Lake Travis Surgical Associates PA's National Provider Identifier is 1942483128, issued on Dec 11, 2007. 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 Dec 23, 2008.