Organization · Type 2 NPI
JB Surgical Inc
Surgical Physician Assistant · Houston, TX
NPI number
1164904645
Active
Practice location
12955 Willow Place Dr W # 691789
Houston, TX 77070-5651
Mailing address
PO Box 691789
Houston, TX 77269-1789
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | None listed |
Surgical Physician Assistant: Definition to come...
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About NPI 1164904645
JB Surgical Inc's National Provider Identifier is 1164904645, issued on Aug 31, 2018. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Houston, TX. The record was last updated on Aug 31, 2018.