PP
PROVINCIAL PARK SURGERY CENTER, LLC
Adult Day Care
OIG CLEARNPI VERIFIED
Location
KATY, TX
Licensed since
2011
Rate
—
Federal identifiers
NPI registry number1215204268
Agency details
Medicare activity
StatusNo Medicare utilization on file — neutral.
Authorized official
NameMENNEN GALLAS
TitleCHAIRMAN OF THE BOARD
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