Organization
A STEP AHEAD SURGICAL ASSISTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE ALYSE STOCKTON LSA (LICENSED SURGICAL ASSISTANT)
(361) 793-9044
Entity
Organization
Contact information
Practice address
3418 CARTAGENA DR, CORPUS CHRISTI, TX 78418-3923
(361) 793-9044
Mailing address
3418 CARTAGENA DR, CORPUS CHRISTI, TX 78418-3923
(361) 793-9044
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SA00646
TEXAS MEDICAL BOARD
TX
Enumeration date
03/31/2022
Last updated
04/26/2022
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