Organization · Type 2 NPI

Assistant at Surgery PRN

Surgical Physician Assistant · Houston, TX

NPI number 1487842324 Active

Practice location

18306 Blanchmont Ln
Houston, TX 77058-3427

Call (281) 335-0411 Map

Fax (281) 333-1075

Mailing address

PO Box 58265
Houston, TX 77258-8265

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X550275 (TX)

Surgical Physician Assistant: Definition to come...

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About NPI 1487842324

Assistant at Surgery PRN's National Provider Identifier is 1487842324, issued on Oct 4, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Houston, TX. The record was last updated on Oct 4, 2007.