Organization
SURGICAL ASSISTANTS OF AUSTIN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTONIO JASON MORQUECHO LSA (CEO,LSA)
(254) 421-4876
Entity
Organization
Contact information
Practice address
2292 INTREPID DR, BUDA, TX 78610-4953
(254) 421-4876
Mailing address
2292 INTREPID DR, BUDA, TX 78610-4953
(254) 421-4876
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
07/11/2023
Last updated
08/15/2023
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