Executive Surgery Center, LLC

NPI #1114264488 in Tomball, Texas

Provider Information

NPI Number
1114264488
Entity Type
Organization
Organization Name
Executive Surgery Center, LLC
Primary Specialty
Clinic/Center - Ambulatory Surgical
Enumeration Date
Jan 7, 2013
Last Updated
Nov 4, 2016

Practice Location

Address
13603 MICHEL RD
State
Texas
ZIP Code
77375-6410
Phone
(832) 698-3720

Authorized Official

Name
DR. MOHAMMED TAREK AL-FAHL, MD
Title
OWNER/PHYSICIAN
Phone
(832) 698-3720

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Ambulatory SurgicalAmbulatory Surgical

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