Individual
SANTOS JAVIER ZELAYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSA
Contact information
Practice address
3814 GRAND PROMENADE LN, STAFFORD, TX 77477
(281) 653-2924
Mailing address
PO BOX 450064, HOUSTON, TX 77245-0064
(281) 653-2924
(832) 478-9266
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
SA00433
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SA00433
LICENSE SURGICAL ASSISTANT
TX
Enumeration date
08/25/2010
Last updated
03/10/2023
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