SOUTH SIDE ENT, PA – NPI #1134341316
Clinic/Center

SOUTH SIDE ENT, PA is an AHC clinic located in HOUSTON, TX. NPPES has assigned the NPI number 1134341316 to SOUTH SIDE ENT, PA on May 03, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SOUTH SIDE ENT, PA below.

NPI Profile for
SOUTH SIDE ENT, PA

NPI Number
1134341316
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SOUTH SIDE ENT, PA
Primary location
4120 SOUTHWEST FWY, #200
HOUSTON, TX 77027
Phone: (713) 355-8600 Fax: (713) 355-8069
Mailing address
PO BOX 1759, DEPT 743
HOUSTON, TX 77251-1759
Phone: (713) 355-8600 Fax: (713) 355-8069
Organization Subpart
No
Authorized Official
JODIE ELLIS
BUSINESS OFFICE COORDINATOR
Phone: (713) 355-8600
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.