Provincial Park Surgery Center, LLC
NPI #1215204268 in Katy, Texas
Provider Information
- NPI Number
- 1215204268
- Entity Type
- Organization
- Organization Name
- Provincial Park Surgery Center, LLC
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Nov 18, 2011
- Last Updated
- Nov 18, 2011
Practice Location
Authorized Official
- Name
- MENNEN T. GALLAS, MD
- Title
- CHAIRMAN OF THE BOARD
- Phone
- (281) 646-1114
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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