Organization
MP SURGICAL ASSISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TORI BUMSTEAD (BILLING COORDINATOR)
(409) 429-8457
Entity
Organization
Contact information
Practice address
4012 DUVAL ST UNIT B, AUSTIN, TX 78751-5110
(936) 414-6747
Mailing address
4012 DUVAL ST UNIT B, AUSTIN, TX 78751-5110
(936) 414-6747
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
Other
Enumeration date
07/25/2019
Last updated
07/25/2019
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