Organization
WINDSOR SA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DACNADARS MARTIN (AUTHORIZED OFFICIAL)
(713) 231-6141
Entity
Organization
Contact information
Practice address
5535 BROOKHOLLOW OAKS TRL, HOUSTON, TX 77084-6052
(713) 231-6141
Mailing address
5535 BROOKHOLLOW OAKS TRL, HOUSTON, TX 77084-6052
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
04/15/2021
Last updated
03/23/2023
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