Organization · Type 2 NPI

Rush Surgical Affiliates LLC

Surgical Physician Assistant · The Woodlands, TX

NPI number 1972819027 Active

Practice location

17200 St Lukes Way
The Woodlands, TX 77384-8007

Fax (936) 333-6915

Mailing address

PO Box 92
Montgomery, TX 77356-0092

Specialties and licenses

TaxonomyCodeLicense
Surgical Assistant 246ZC0007XSA00395 (TX)
Surgical Assistant 246ZC0007X3341 (TX)
Surgical Technologist 246ZS0410X548445 (TX)
Surgical Physician Assistant Primary 363AS0400XNone listed

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About NPI 1972819027

Rush Surgical Affiliates LLC's National Provider Identifier is 1972819027, issued on Aug 27, 2010. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in The Woodlands, TX. The record was last updated on Nov 24, 2015.