Individual
GUIDO ROMAN SALLES BETANCOURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSA
Contact information
Practice address
1 SUGAR CREEK CENTER BLVD STE 618, SUGAR LAND, TX 77478-3540
(832) 655-4141
(713) 457-5188
Mailing address
1 SUGAR CREEK CENTER BLVD STE 618, SUGAR LAND, TX 77478-3540
(832) 655-4141
(713) 457-5188
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
16-499
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8KA698
BCBS - XCITE SURGICAL ASSISTANTS, LLC
TX
01
—
8KA699
BCBS - UNIVERSAL SURGICAL PARTNERS, INC.
TX
01
—
8KC697
BCBS - UNIVERSAL SURGICAL ASSISTANTS, INC.
TX
01
—
8LH859
BCBS - BLUE STAR SURGICAL ASSISTANTS LLC
TX
01
—
8P793
BCBS - US MSO
TX
01
—
8XP793
BCBS - US MSO
TX
01
—
SA00644
TEXAS MEDICAL BOARD
TX
Enumeration date
10/04/2016
Last updated
09/28/2021
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