Provider Demographics
NPI:1730943127
Name:AMAZING SURGICAL CENTER PLLC
Entity type:Organization
Organization Name:AMAZING SURGICAL CENTER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:AMANING
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:832-408-9651
Mailing Address - Street 1:14515 KATY FWY STE 300
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77079-1300
Mailing Address - Country:US
Mailing Address - Phone:832-408-9651
Mailing Address - Fax:
Practice Address - Street 1:14515 KATY FWY STE 300
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77079-1300
Practice Address - Country:US
Practice Address - Phone:832-408-9651
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-07
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental