With a Patient Notebook account, you can directly contact your doctor, view your healthcare records, and easily pay your medical bills – quickly, privately and securely – all from the comfort of your computer.
Executive Surgery Center LLC
13603 Michel Road
Suite 100
Tomball, TX 77375
(832) 698 - 3720
Patient Information
First Name *
M.I.
Last Name *
Patient Account Number *
Date of Service
Phone Number *
DOB
Email Address
A receipt will be sent to this email address.
Payment Information
Make A Payment
Amount is required.
Installment Amount must be equal to or greater than the Minimum Installment Amount shown.
Installment Amount exceeds the Plan Balance.
You cannot set up a payment plan without submitting a valid email address.
First Payment Date is required.
Payment plans must start today or later.
Payment plans must start within one year.
First Payment Date is invalid.
How would you like to pay?
One-time Payment
Choose a Payment Method
+ Bank Account
+ Credit/Debit Card
Bank Account
Change
Credit/Debit Card
Change
Executive Surgery Center LLC
13603 Michel Road
Tomball, TX 77375
Copyright 2014 ZirMed. All rights reserved. Established in the United States. Patient Notebook v2.0.