281.647.2300
Fax: 281.550.2815

15775 Park Ten Place
Houston, TX 77084
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281.647.2300
Fax: 281.550.2815

15775 Park Ten Place
Houston, TX 77084

NOTICE REGARDING ELECTRONIC DISCLOSURE OF PROTECTED HEALTH INFORMATION

Please be advised that we maintain individuals’ protected health information (PHI) in electronic form. All electronic PHI maintained by our ambulatory surgery center
is subject to electronic disclosure. Please review our Notice of Privacy Practices for electronic disclosures of PHI that do not require your authorization.