1902048549 NPI number — SURGICAL FIRST ASSISTANT SERVICES

Table of content: (NPI 1902048549)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1902048549 NPI number — SURGICAL FIRST ASSISTANT SERVICES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SURGICAL FIRST ASSISTANT SERVICES
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
SURGICAL FIRST ASSISTANT SERVICES
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1902048549
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/27/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
519 DAWNVIEW LN
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SAN ANTONIO
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
78213-3647
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
210-464-3902
Provider Business Mailing Address Fax Number:
210-320-6121

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
519 DAWNVIEW LN
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SAN ANTONIO
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78213-3647
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
210-464-3902
Provider Business Practice Location Address Fax Number:
210-320-6121
Provider Enumeration Date:
03/27/2009

Additional Information

Authorized Official

Authorized Official Last Name:
CABRIALES
Authorized Official First Name:
ANTONIO
Authorized Official Middle Name:
Authorized Official Title or Position:
CERTIFIED ASSISTANT AT SURGERY
Authorized Official Telephone Number:
210-464-3902

Provider Taxonomy Codes

  • Taxonomy code: 246ZC0007X , with the licence number:  C07-0129A , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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