EXECUTIVE SURGERY CENTER LLC NPI 1114264488

NPI Information

  • NPI: 1114264488
  • Provider Name: EXECUTIVE SURGERY CENTER, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Address: 13603 MICHEL RD
    TOMBALL, TX
    ZIP 77375
  • Phone: (832) 698-3720

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NPI Details

EXECUTIVE SURGERY CENTER, LLC is an ambulatory surgical clinic center in Tomball, TX. EXECUTIVE SURGERY CENTER, LLC NPI is 1114264488. The provider is registered as an organization entity type.

The provider's business location address is:

13603 MICHEL RD
TOMBALL, TX
ZIP 77375-410
Phone: (832) 698-3720
Fax: (832) 698-3721

The provider's authorized official is Mohammed Tarek Al-fahl .
The authorized official title is Owner/physician and has the following contact phone number (832) 698-3720.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Incision of tendon covering of finger (HCPCS:26055)
  • Injection of substance into lower spine canal using imaging guidance (HCPCS:62323)
  • Repair of shoulder rotator cuff using an endoscope (HCPCS:29827)
  • Release of wrist ligament using an endoscope (HCPCS:29848)
  • Removal of both knee cartilages using an endoscope (HCPCS:29880)

The enumeration date for this NPI number is 1/7/2013 and was last updated on 11/4/2016.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory SurgicalYes

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: 11/21/2025

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