NW AMBULATORY SURGERY CENTER LLP
Ambulatory Health at Hollister St, Houston, TX

License number
Texas 008012
Category
Ambulatory Health
Type
Ambulatory Surgical
Owner
Name: JERRIE SMITH
Title: ADMINISTRATOR
Phone: (713) 462-3194
Address
Address
5215 Hollister St, Houston, TX 77040
National Provider ID: 1568423945
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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NW AMBULATORY SURGERY CENTER LLC

14300 Cornerstone Vlg Dr STE 332, Houston, TX 77014

Status:
Inactive
Doing business as:
NW Ambulatory Surgery Center, Llp<br>NW Surgery Center<br>NW Ambulatory Surgery Center, LLC
Registration:
Nov 13, 2003
State ID:
0800268354
Business type:
Domestic Limited Liability Company (LLC)
Managers:
Jerrie Smith Manager, inactive, 11325 Fullbrook, Houston, TX 77065,Robert S Ball Manager, inactive, 11325 Fullbrook, Houston, TX 77065
Agent:
Jack P. Mixa,14300 Cornerstone Vlg STE 332, Houston, TX 77014 (Physical)
TIN:
32013240638

NW AMBULATORY SURGERY CENTER LLP

5215 Hollister St, Houston, TX 77040

Status:
Inactive
TIN:
32044596180

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