Organization
ELITE SURGICAL ASSISTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUAN DIAZ LSA (PARTNER)
(281) 748-5042
Entity
Organization
Contact information
Practice address
12323 PINEY BEND DR, TOMBALL, TX 77375-7853
(832) 559-1523
(281) 668-6374
Mailing address
PO BOX 1001, TOMBALL, TX 77377-1001
(832) 559-1523
(281) 668-6374
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
SA00202
TX
Other
Enumeration date
01/25/2010
Last updated
01/25/2010
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