Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lake Breeze Surgical Affiliates, PA

Organization Ambulatory Surgical Clinic/Center · NPI 1073647228

Lake Breeze Surgical Affiliates, PA is an Ambulatory Surgical Clinic/Center in Houston, Texas. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4120 SW Fwy 200
Houston, TX 77027-7339
Phone: (713) 355-8600
Fax: (713) 355-8069
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X

Record details

NPI number1073647228
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jodie Ellis — Business Office Coordinator · (713) 355-8600
NPI enumeratedMarch 16, 2007
Last updated in NPPESAugust 22, 2020
Mailing addressPo Box 1759, Dept 721, Houston, TX 77251-1759

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