PREMIER GENERAL AND COLORECTAL SURGERY, PA
Medical Practice at Red Oak Dr, Houston, TX

License number
Texas N3791
Category
Medical Practice
Type
Specialist
Owner
Name: KENT OLSAN
Title: ADMINISTRATOR
Phone: (281) 292-7411
Address
Address 2
17115 Red Oak Dr SUITE 211, Houston, TX 77090
1544 Sawdust Rd SUITE 180, Spring, TX 77380
National Provider ID: 1760738207
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PREMIER GENERAL AND COLORECTAL SURGERY, PA

Houston, TX  -  Spring, TX

Status:
Inactive
Industry:
Medical Doctor's Office, Offices and Clinics of Medical Doctors, N
Doing business as:
Premier General and Colorectal Surgery<br>Premier General and Colorectal Surgery, PA
Registration:
May 23, 2012
Addresses:
6200 Savoy Dr STE 900, Houston, TX 77036 (Mailing)
27 Jadestone Ct, Spring, TX 77381
State ID:
0801601813
Business type:
Professional Association
Principal, Director, Member, President, Secretary:
Junuk Kim Principal, Director, Member, President, Secretary, inactive
TIN:
32048049467

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