Organization
WEST TEXAS ASSIST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC GENE VALLES CSFA/LSA (CSFA/LSA)
(325) 212-6975
Entity
Organization
Contact information
Practice address
11700 WALLSTREET APT 2302, SAN ANTONIO, TX 78230-1876
(325) 212-6975
Mailing address
11700 WALLSTREET APT 2302, SAN ANTONIO, TX 78230-1876
(325) 212-6975
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
05/17/2022
Last updated
05/17/2022
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