1841413663 NPI number — SURGASSIS ALPHA SURGICAL ASSISTANT SERVICES, INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1841413663 NPI number — SURGASSIS ALPHA SURGICAL ASSISTANT SERVICES, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SURGASSIS ALPHA SURGICAL ASSISTANT SERVICES, INC.
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:
DBA SURGASSIS ALPHA SURGICAL 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:
1841413663
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
P.O. BOX 820568
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HOUSTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77282
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
281-620-5274
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7100 ALMEDA ROAD
Provider Second Line Business Practice Location Address:
#2127
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77054
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
713-799-2558
Provider Business Practice Location Address Fax Number:
713-799-2558
Provider Enumeration Date:
04/10/2007

Additional Information

Authorized Official

Authorized Official Last Name:
PARLADE
Authorized Official First Name:
SALVADOR
Authorized Official Middle Name:
BELLEZA
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
281-620-5274

Provider Taxonomy Codes

  • Taxonomy code: 363AS0400X , with the licence number:  SA00137 , 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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