Organization · NPI-2

College Park Surgery Center

Clinic/Center · Conroe, TX

NPI number1104228758
StatusActive
Last updated in NPPESFeb 13, 2015

Details

NPI
1104228758
Entity type
Organization (NPI-2)
Legal business name
College Park Surgery Center
Organization subpart
No
Enumeration date
Sep 25, 2014
Last updated
Feb 13, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center––Yes

Practice location

3074 College Park Dr
Conroe, TX 77384-8002

Phone 361-652-0025

Mailing address

Po Box 3525
Victoria, TX 77903-3525

Phone 361-652-0025

Authorized official

Phrs Services
General Partner
3616520025

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