Provider Demographics
NPI:1871531244
Name:NORTH HOUSTON ENDOSCOPY & SURGERY
Entity type:Organization
Organization Name:NORTH HOUSTON ENDOSCOPY & SURGERY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INSURANCE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JEANNA
Authorized Official - Middle Name:DEANNE
Authorized Official - Last Name:HUSTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-440-0101
Mailing Address - Street 1:275 LANTERN BEND DR
Mailing Address - Street 2:STE. 400
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77090-2831
Mailing Address - Country:US
Mailing Address - Phone:281-440-0101
Mailing Address - Fax:281-440-6441
Practice Address - Street 1:275 LANTERN BEND DR
Practice Address - Street 2:STE. 400
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090-2831
Practice Address - Country:US
Practice Address - Phone:281-440-0101
Practice Address - Fax:281-440-6441
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7811261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXASC127Medicare ID - Type UnspecifiedMEDICARE LICENSE #