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MBC AMBULATORY SURGERY CENTER LP NPI 1508804451


NPI Information

NPI: 1508804451
Provider Name: MBC AMBULATORY SURGERY CENTER, LP

Doing Business As: MANN CATARACT SURGERY CENTER

Classification: Clinic/Center - 261QS0132X
Entity Type: Organization

Specialization: Ophthalmologic Surgery

CLIA Number: 45D0711440

Address:
18850 S MEMORIAL DR
HUMBLE, TX
ZIP 77338
Phone: (713) 275-2457
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MBC AMBULATORY SURGERY CENTER, LP is an ophthalmologic surgery clinic center in Humble, TX. MBC AMBULATORY SURGERY CENTER, LP NPI is 1508804451. The provider is registered as an organization entity type.
The provider Is Doing Business As Mann Cataract Surgery Center.

The provider's business location address is:

18850 S MEMORIAL DR
HUMBLE, TX
ZIP 77338-288
Phone: (713) 275-2457
Fax: (713) 275-2466

The provider's authorized official is Paul Michael Mann .
The authorized official title is Medical Director and has the following contact phone number (713) 275-2457.

The CLIA number assigned to this NPI record is 45D0711440 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/3/2006 and was last updated on 10/8/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QA1903XClinic/CenterAmbulatory Surgical007149TEXASNo
2261QS0132XClinic/CenterOphthalmologic Surgery007149TEXASYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1ASC072MEDICARE PINTEXAS
2085894602MEDICAIDTEXAS

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

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