Organization
NELSON MOBAK L.P.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ESTUARDO MOTA SA (CERTIFIED SURGICAL ASSISTANT)
(832) 704-3911
Entity
Organization
Contact information
Practice address
19901 SOUTHWEST FWY, SUITE #134, SUGAR LAND, TX 77479-6538
(832) 704-3911
(281) 207-5484
Mailing address
PO BOX 16548, SUGAR LAND, TX 77496-6548
(832) 704-3911
(281) 207-5484
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
SA00083
TX
Other
Enumeration date
04/06/2007
Last updated
08/22/2020
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