Basic Information
Provider Information
NPI: 1881993798
EntityType: 2
ReplacementNPI:  
OrganizationName: SPRING KLEIN SURGICAL HOSPITAL
LastName:  
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Mailing Information
Address1: 6225 FM 2920 RD
Address2:  
City: SPRING
State: TX
PostalCode: 773793474
CountryCode: US
TelephoneNumber: 9367142232
FaxNumber: 2816054563
Practice Location
Address1: 6225 FM 2920 RD
Address2:  
City: SPRING
State: TX
PostalCode: 773793474
CountryCode: US
TelephoneNumber: 9367142232
FaxNumber: 2816054563
Other Information
ProviderEnumerationDate: 03/17/2011
LastUpdateDate: 03/17/2011
NPIDeactivationReasonCode:  
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AuthorizedOfficialLastName: MOPARTY
AuthorizedOfficialFirstName: ROY
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AuthorizedOfficialTitleorPosition: DIRECTOR
AuthorizedOfficialTelephone: 9367142232
IsSoleProprietor:  
IsOrganizationSubpart: N
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AuthorizedOfficialCredential: B,S
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
282N00000X  Y HospitalsGeneral Acute Care Hospital 

No ID Information.


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