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

Provincial Park Surgery Center, LLC

Organization Ambulatory Surgical Clinic/Center · NPI 1215204268

Provincial Park Surgery Center, LLC is an Ambulatory Surgical Clinic/Center in Katy, Texas. Licensed in Texas. Registered with an NPI since 2011.

Licensed in
TX
In the registry since
2011
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

21300 Provincial Blvd Ste 200
Katy, TX 77450-7580
Phone: (713) 554-7500
Fax: (713) 554-6656
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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 (TX)

Record details

NPI number1215204268
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mennen Gallas — Chairman Of The Board · (281) 646-1114
NPI enumeratedNovember 18, 2011
Last updated in NPPESNovember 18, 2011
Mailing address21300 Provincial Blvd, Suite 200, Katy, TX 77450-7580

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