PMC/BAYSIDE ACQUISITION L.L.C. NPI 1780914192

NPI Information

NPI: 1780914192
Provider Name: PMC/BAYSIDE ACQUISITION, L.L.C.
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
4001 PRESTON AVE
SUITE 175
PASADENA, TX
ZIP 77505
Phone: (281) 487-6111
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PMC/BAYSIDE ACQUISITION, L.L.C. is an ambulatory surgical clinic center in Pasadena, TX. PMC/BAYSIDE ACQUISITION, L.L.C. NPI is 1780914192. The provider is registered as an organization entity type.

The provider's business location address is:

4001 PRESTON AVE
SUITE 175
PASADENA, TX
ZIP 77505-069
Phone: (281) 487-6111

The provider's authorized official is Mark W. Kennedy .
The authorized official title is Manager and has the following contact phone number (972) 479-1380.

The enumeration date for this NPI number is 1/6/2010 and was last updated on 1/6/2010.

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			Yes

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: 5/5/2024

NPI Synchronization or Removal

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