Bayshore Surgery Center, Ltd
Bayshore Surgery Center, Ltd is a healthcare organization registered as Ambulatory Surgical Clinic/Center in Pasadena, TX, holding Type 2 (organization) NPI 1508829011 since 2006. The authorized official on file is Don Liedtke, Vice President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1508829011 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Bayshore Surgery Center, Ltd |
| Other name | <Unavail> |
| Practice address | 3333 BAYSHORE BLVD, Pasadena, TX, 77504 |
| Phone | 8323860320 |
| Fax | 8323860240 |
| Enumeration date | 2006-04-07 |
| Last updated in NPPES | 2007-10-22 |
Authorized official
| Name | Don Liedtke |
|---|---|
| Title | Vice President |
| Phone | 6153445507 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QA1903X | Ambulatory Surgical Clinic/Center | Primary | 007306 | TX |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 144393901 | Medicaid | TX | — |
Copy-ready billing details
Provider: Bayshore Surgery Center, Ltd NPI: 1508829011 Taxonomy: 261QA1903X (Ambulatory Surgical Clinic/Center) Address: 3333 BAYSHORE BLVD, Pasadena, TX, 77504
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1871596577 | Mitzi Storey | Individual | Surgical Technologist | Pasadena, TX |
| 1255335055 | Daniel Goldman | Individual | Ophthalmology Physician | Pasadena, TX |
| 1053318840 | Advanced Functional Assessments Inc | Organization | Physical Therapy Clinic/Center | Pasadena, TX |
| 1528053741 | Louie Roberts | Individual | Specialist | Pasadena, TX |
| 1740241439 | Clinton Foster | Individual | Physical Therapist | Pasadena, TX |
| 1699867044 | Samiran Das | Individual | Internal Medicine Physician | Pasadena, TX |
| 1093899890 | Kristan Gibson | Individual | Optometrist | Pasadena, TX |
| 1174680862 | Idette Rumann | Individual | Professional Counselor | Pasadena, TX |
Verify this record
Cross-check NPI 1508829011 against the authoritative CMS record: view Bayshore Surgery Center, Ltd on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Where is Bayshore Surgery Center, Ltd located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2007-10-22.