Organization
LC SURGICAL ASSISTANTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUAN MARTINEZ (AUTHORIZED OFFICIAL)
(281) 463-6309
Entity
Organization
Contact information
Practice address
1112 YORKTOWN ST, RICHMOND, TX 77469-1639
(281) 463-6309
Mailing address
PO BOX 2028, RICHMOND, TX 77406-0051
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
SA00414
TX
Other
Enumeration date
04/30/2013
Last updated
08/19/2014
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