Organization
LONESTAR SURGICAL ASSISTANT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRIS ORTIZ (AUTHORIZED OFFICIAL)
(281) 463-6309
Entity
Organization
Contact information
Practice address
16151 CAIRNWAY DR, SUITE 100, HOUSTON, TX 77084-3550
(281) 463-6309
Mailing address
21175 TOMBALL PKWY, PMB 122, HOUSTON, TX 77070-1655
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
SA00334
TX
Other
Enumeration date
01/23/2013
Last updated
02/05/2014
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