Organization
LOYAL CROWN ASSISTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOTHARY BUTH (SURGICAL ASSIST)
(281) 704-0932
Entity
Organization
Contact information
Practice address
3300 FALCON LANDING BLVD APT 7104, KATY, TX 77494-7767
(281) 704-0932
Mailing address
3300 FALCON LANDING BLVD APT 7104, KATY, TX 77494-7767
(281) 704-0932
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
07/11/2018
Last updated
07/11/2018
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