Provider Demographics
NPI:1174751812
Name:URGENT SURGICAL GROUP OF TEXAS INC
Entity type:Organization
Organization Name:URGENT SURGICAL GROUP OF TEXAS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:JASON
Authorized Official - Middle Name:
Authorized Official - Last Name:BALETTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-419-8400
Mailing Address - Street 1:9200 PINECROFT
Mailing Address - Street 2:SUITE 250
Mailing Address - City:WOODLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77380
Mailing Address - Country:US
Mailing Address - Phone:281-419-8400
Mailing Address - Fax:
Practice Address - Street 1:9200 PINECROFT
Practice Address - Street 2:SUITE 250
Practice Address - City:WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380
Practice Address - Country:US
Practice Address - Phone:281-419-8400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-01
Last Update Date:2020-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty