Organization · Type 2 NPI
Lone Star Surgical Assisting LLC
Surgical Physician Assistant · Waco, TX
NPI number
1417664103
Active
Practice location
10113 Barton Creek Dr
Waco, TX 76708-5877
Mailing address
430 W State Highway 6 PO Box 20661
Waco, TX 76702-5877
Other practice locations
- 6901 Medical Pkwy, Waco, TX 76712-7910 · (254) 751-4000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Assistant | 246ZC0007X | None listed |
| Surgical Physician Assistant Primary | 363AS0400X | None listed |
Surgical Physician Assistant: Definition to come...
Another provider at this address
Other surgical physician assistant providers in Waco
About NPI 1417664103
Lone Star Surgical Assisting LLC's National Provider Identifier is 1417664103, issued on Nov 1, 2022. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Waco, TX. The record was last updated on Jan 5, 2023.