CRYSTAL OUTPATIENT SURGERY CENTER LAKE JACKSON – NPI #1417172891
Clinic/Center

CRYSTAL OUTPATIENT SURGERY CENTER LAKE JACKSON is an AHC clinic located in HOUSTON, TX. NPPES has assigned the NPI number 1417172891 to CRYSTAL OUTPATIENT SURGERY CENTER LAKE JACKSON on April 13, 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 19 years ago on Oct 05, 2007. 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 CRYSTAL OUTPATIENT SURGERY CENTER LAKE JACKSON below.

NPI Profile for
CRYSTAL OUTPATIENT SURGERY CENTER LAKE JACKSON

NPI Number
1417172891
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
CRYSTAL OUTPATIENT SURGERY CENTER LAKE JACKSON
Primary location
215 OAK DRIVE SOUTH
SUITE J
HOUSTON, TX 77024
Phone: (713) 467-9413 Fax:
Mailing address
10565 KATY FREEWAY
SUITE 100
HOUSTON, TX 77024
Phone: (713) 467-9413 Fax:
Organization Subpart
No
Authorized Official
ROBERT YARISH
PRESIDENT
Phone: (713) 467-0146
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)		 TX 000269

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.