Provider Demographics
NPI:1184991341
Name:BAYTOWN ENDOSCOPY CENTER, LLC
Entity type:Organization
Organization Name:BAYTOWN ENDOSCOPY CENTER, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:NILOFAR
Authorized Official - Middle Name:S
Authorized Official - Last Name:JIWANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-425-3900
Mailing Address - Street 1:PO BOX 2429
Mailing Address - Street 2:
Mailing Address - City:BAYTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:77522-2429
Mailing Address - Country:US
Mailing Address - Phone:281-425-3900
Mailing Address - Fax:281-425-3996
Practice Address - Street 1:910 N HIGHWAY 146
Practice Address - Street 2:
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77520-2252
Practice Address - Country:US
Practice Address - Phone:281-425-3900
Practice Address - Fax:281-425-3996
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-16
Last Update Date:2011-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical