Organization · Type 2 NPI
Pure Surgical Assistant
Surgical Physician Assistant · Houston, TX
NPI number
1902205321
Active
Practice location
475 Bendwood Dr
Houston, TX 77024-8813
Fax (832) 201-7900
Mailing address
PO Box 79576
Houston, TX 77279-9576
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | SA00504 (TX) |
Surgical Physician Assistant: Definition to come...
Another provider at this address
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About NPI 1902205321
Pure Surgical Assistant's National Provider Identifier is 1902205321, issued on Aug 21, 2014. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Houston, TX. The record was last updated on Sep 10, 2014.