MEMORIAL HERMANN SURGERY CENTER PRESTON ROAD LTD. NPI 1619971504

NPI Information

  • NPI: 1619971504
  • Provider Name: MEMORIAL HERMANN SURGERY CENTER PRESTON ROAD, LTD.
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Doing Business As: DOCTORS OUTPATIENT SURGICENTER
  • Address: 3534 VISTA RD
    PASADENA, TX
    ZIP 77504
  • Phone: (713) 947-0330

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NPI Details

MEMORIAL HERMANN SURGERY CENTER PRESTON ROAD, LTD. is an ambulatory surgical clinic center in Pasadena, TX. MEMORIAL HERMANN SURGERY CENTER PRESTON ROAD, LTD. NPI is 1619971504. The provider is registered as an organization entity type.
The provider Is Doing Business As Doctors Outpatient Surgicenter.

The provider's business location address is:

3534 VISTA RD
PASADENA, TX
ZIP 77504-728
Phone: (713) 947-0330
Fax: (713) 947-6562

The provider's authorized official is Jenetha D Moran .
The authorized official title is Officer / Authorized Official and has the following contact phone number (972) 763-3893.

The enumeration date for this NPI number is 6/8/2005 and was last updated on 7/24/2019.

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
1261QA1903XClinic/CenterAmbulatory Surgical007116TEXASYes

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
1490004677OTHERTEXASRAILROAD MEDICARE
210021532MEDICAIDTEXAS

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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