RENAISSANCE SURGICAL CENTER-NORTHEAST L.L.P NPI 1275600751

NPI Information

NPI: 1275600751
Provider Name: RENAISSANCE SURGICAL CENTER-NORTHEAST, L.L.P
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 SURGICAL CENTER-NORTHEAST, L.L.P is an ambulatory surgical clinic center in Humble, TX. RENAISSANCE SURGICAL CENTER-NORTHEAST, L.L.P NPI is 1275600751. The provider is registered as an organization entity type.

The provider's business location address is:

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

The provider's authorized official is Mustapha Kibirige .
The authorized official title is President and has the following contact phone number (713) 532-7311.

The enumeration date for this NPI number is 11/29/2006 and was last updated on 6/21/2018.

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
1	261QA1903X	Clinic/Center	Ambulatory Surgical	261QA1903X	TEXAS	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1586968-01	MEDICAID	TEXAS
2	=========	OTHER	TEXAS	TAX ID
3	HH1370	OTHER	TEXAS	BCBS GRP #

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

NPI Synchronization or Removal

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