Organization
RUSHMORE SURGICAL ASSISTANTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ELIAS YARRITO JR. L.S.A. (CEO)
(936) 760-6591
Entity
Organization
Contact information
Practice address
17400 ST LUKES WAY, THE WOODLANDS, TX 77384-8036
(936) 760-6591
(936) 582-6013
Mailing address
PO BOX 18, MONTGOMERY, TX 77356-0018
(936) 760-6591
(936) 582-6013
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
3341
TX
246ZC0007X
Surgical Assistant
SA00395
TX
246ZS0410X
Surgical Technologist
548445
TX
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
12/11/2013
Last updated
11/24/2015
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