Organization
JIRA SURGICAL ASSISTANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA RAMIREZ (LSA)
(210) 954-3107
Entity
Organization
Contact information
Practice address
3503 CACTUS FALL, SAN ANTONIO, TX 78245
(210) 954-3107
Mailing address
17350 STATE HIGHWAY 249 STE 220, HOUSTON, TX 77064-1132
(210) 954-3107
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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