PROVINCIAL PARK SURGERY CENTER, LLC is an ambulatory surgical clinic center in Katy, TX. PROVINCIAL PARK SURGERY CENTER, LLC NPI is 1215204268. The provider is registered as an organization entity type.
The provider's business location address is:
21300 PROVINCIAL BLVD SUITE 200 KATY, TX ZIP 77450-580 Phone: (713) 554-7500 Fax: (713) 554-6656
The provider's authorized official is Mennen T. Gallas . The authorized official title is Chairman Of The Board and has the following contact phone number (281) 646-1114.
The CLIA number assigned to this NPI record is 45D2039129 - ambulatory surgery center with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 11/18/2011 and was last updated on 11/18/2011.
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:
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
NPI Synchronization or Removal
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