South Side Ent, Pa in Houston - Ambulatory Surgical
South Side Ent, Pa - NPI 1134341316
South Side Ent, Pa is a Ambulatory Surgical in Houston, Texas. South Side Ent, Pa practices all healthcare services and medical treatments related to Ambulatory Surgical. The NPI Number for South Side Ent, Pa is 1134341316. The last update date is 2020-08-22.
South Side Ent, Pa's current location address is Po Box 1759, Dept 743, Houston, Texas. You can contact this provider via phone number 7133558600 and fax number 7133558069. The mailing address for South Side Ent, Pa is Po Box 1759, Dept 743, Houston, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | South Side Ent, Pa |
|---|---|
| Address | Po Box 1759, Dept 743, Houston, Texas |
| Phone Number | 7133558600 |
| Fax Number | 7133558069 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | BUSINESS O |
|---|---|
| Authorized Official Name | Ellis R Jodie |
| Telephone Number | 7133558600 |
NPI Number Detail
| NPI Number | 1134341316 |
|---|---|
| Provider Enumeration Date | 2007-05-03 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | Po Box 1759, Dept 743 |
|---|---|
| City | Houston |
| State | Texas (TX) |
| Post Code | 772511759 |
| Phone Number | 7133558600 |
| Fax Number | 7133558069 |
Provider's Primary Taxonomy Detail
| Speciality | Ambulatory Surgical |
|---|---|
| Taxonomy | 261Qa1903X |
|
Definition: Provides outpatient surgical services not requiring hospitalization. |
|
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to South Side Ent, Pa by the Centers for Medicare & Medicaid Services?
The South Side Ent, Pa has been assigned the NPI (National Provider Identifier) 1134341316 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where South Side Ent, Pa is geographically located?
The South Side Ent, Pa is physically situated at the following location: Po Box 1759, Dept 743, Houston, TX, 772511759.
What is South Side Ent, Pa's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for South Side Ent, Pa is Ambulatory Surgical, and the taxonomy code that classifies this field of practice is 261Qa1903X.
On what date did the Centers for Medicare & Medicaid Services assign the 1134341316 to South Side Ent, Pa?
The Centers for Medicare & Medicaid Services assigned the 1134341316 to South Side Ent, Pa on 2007-05-03.
When was the information regarding South Side Ent, Pa, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to South Side Ent, Pa, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.
NPI Number: 1902809924
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