ADVANCED SURGICAL WELLNESS NPI 1326108622

NPI Information

  • NPI: 1326108622
  • Provider Name: ADVANCED SURGICAL WELLNESS
  • Classification: Clinic/Center - 261QM2500X
  • Specialization: Medical Specialty
  • Entity Type: Organization
  • Address: 2105 JACKSON ST
    HOUSTON, TX
    ZIP 77003
  • Phone: (281) 620-2133

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NPI Details

ADVANCED SURGICAL WELLNESS is a medical specialty clinic center in Houston, TX. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). ADVANCED SURGICAL WELLNESS NPI is 1326108622. The provider is registered as an organization entity type.

The provider's business location address is:

2105 JACKSON ST
HOUSTON, TX
ZIP 77003-839
Phone: (281) 620-2133
Fax: (713) 691-1273

The provider's authorized official is William Garrett .
The authorized official title is President and has the following contact phone number (281) 620-2133.

The enumeration date for this NPI number is 12/11/2006 and was last updated on 6/16/2008.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM2500XClinic/CenterMedical SpecialtyE7942TEXASYes

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
18B8314MEDICARE ID-TYPE UNSPECIFIEDTEXAS
2122248127MEDICAIDTEXAS

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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