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RENAISSANCE NORTHEAST SURGERY CENTER NPI 1083880298


NPI Information

NPI: 1083880298
Provider Name: RENAISSANCE NORTHEAST SURGERY CENTER

Doing Business As: RENAISSANCE SURGICAL CENTER

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
18929 HIGHWAY 59 N
HUMBLE, TX
ZIP 77338
Phone: (713) 532-7311
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RENAISSANCE NORTHEAST SURGERY CENTER is an ambulatory surgical clinic center in Humble, TX. RENAISSANCE NORTHEAST SURGERY CENTER NPI is 1083880298. The provider is registered as an organization entity type.
The provider Is Doing Business As Renaissance Surgical Center.

The provider's business location address is:

18929 HIGHWAY 59 N
HUMBLE, TX
ZIP 77338-270
Phone: (713) 532-7311
Fax: (281) 446-6372

The provider's authorized official is Omar Kiggundu .
The authorized official title is Cfo and has the following contact phone number (713) 532-7311.

The enumeration date for this NPI number is 5/7/2008 and was last updated on 5/7/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QA1903XClinic/CenterAmbulatory SurgicalYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1158696801MEDICAIDTEXAS
2ASC163MEDICARE PINTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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