Organization
ANGELINA SURGICAL ASSISTANTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DREFUS EARL THOMPSON JR. CSFA, R.N. (OWNER)
(936) 526-1315
Entity
Organization
Contact information
Practice address
2900 ATKINSON DR, LUFKIN, TX 75901-1524
(936) 526-1315
(936) 634-8515
Mailing address
PO BOX 155854, LUFKIN, TX 75915-5854
(936) 526-1315
(936) 634-8515
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
856051
TX
246ZC0007X
Surgical Assistant
Primary
130937
TX
363AS0400X
Surgical Physician Assistant
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Other
Enumeration date
07/02/2013
Last updated
11/04/2014
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