Organization
COASTAL BEND SURGICAL ASSISTANTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NATHANAEL MCGREW LSA, CFA (PRESIDENT)
(936) 718-9501
Entity
Organization
Contact information
Practice address
19406 CREEK BEND DR, SPRING, TX 77388-3095
(936) 718-9501
(281) 719-0027
Mailing address
19406 CREEK BEND DR, SPRING, TX 77388-3095
(936) 718-9501
(281) 719-0027
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
SA00005
TX
Other
Enumeration date
07/10/2009
Last updated
07/10/2009
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