ST. MARY AMBULATORY SURGERY CENTER – NPI #1194215921
Clinic/Center

ST. MARY AMBULATORY SURGERY CENTER is an AHC clinic located in CONROE, TX. NPPES has assigned the NPI number 1194215921 to ST. MARY AMBULATORY SURGERY CENTER on May 17, 2018. 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 5 years ago on Mar 17, 2021. 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 ST. MARY AMBULATORY SURGERY CENTER below.

NPI Profile for
ST. MARY AMBULATORY SURGERY CENTER

NPI Number
1194215921
Enumeration Date

(more than 8 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
ST. MARY AMBULATORY SURGERY CENTER
Primary location
1006 WINDSOR LAKE BLVD.
SUITE 100
CONROE, TX 77384
Phone: (281) 537-8088 Fax: (832) 610-2767
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
EMAD BISHAI
OWNER
Phone: (917) 340-8981
Updated
Certification Date
Mar 15, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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)
TX

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.