BAYSIDE A S C LP NPI 1497850648

NPI Information

NPI: 1497850648
Provider Name: BAYSIDE A S C LP
Classification: Clinic/Center - 261QA1903X
Specialization: Ambulatory Surgical
Entity Type: Organization
Doing Business As: BAYSIDE SURGERY CENTER
Address: 4001 PRESTON AVE
STE 175
PASADENA, TX
ZIP 77505
Phone: (281) 487-6111

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NPI Details

BAYSIDE A S C LP is an ambulatory surgical clinic center in Pasadena, TX. BAYSIDE A S C LP NPI is 1497850648. The provider is registered as an organization entity type.
The provider Is Doing Business As Bayside Surgery Center.

The provider's business location address is:

4001 PRESTON AVE
STE 175
PASADENA, TX
ZIP 77505-019
Phone: (281) 487-6111
Fax: (281) 487-6090

The provider's authorized official is Jorge Rodriguez .
The authorized official title is General Patner and has the following contact phone number (281) 487-6111.

The enumeration date for this NPI number is 9/13/2006 and was last updated on 8/4/2008.

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
1	261QA1903X	Clinic/Center	Ambulatory Surgical	008204	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	167502701	MEDICAID	TEXAS
2	ASC133	MEDICARE ID-TYPE UNSPECIFIED	TEXAS

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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