Organization · Type 2 NPI
Eastlake Surgical Associates, LLC
Surgical Physician Assistant · Conroe, TX
NPI number
1780163378
Active
Practice location
2007 Shasta Ridge Dr
Conroe, TX 77304-4697
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | SA00639 (TX) |
Surgical Physician Assistant: Definition to come...
Another provider at this address
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About NPI 1780163378
Eastlake Surgical Associates, LLC's National Provider Identifier is 1780163378, issued on Aug 14, 2018. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Conroe, TX. The record was last updated on Mar 30, 2022.