Organization
PROFESSIONAL SURGICAL ASSISTANT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA J VILLATORO LSA (LICENSE SURGICAL ASSISTANT)
(832) 812-8342
Entity
Organization
Contact information
Practice address
17914 DOVETAIL CREEK CT, CYPRESS, TX 77433-7208
(832) 812-8342
Mailing address
PO BOX 1156, CYPRESS, TX 77410
(832) 812-8342
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8SQ944
XCITE SURGICAL
TX
01
—
8SY054
BLUE STAR SURGICAL ASSISTANTS
TX
01
—
8SY135
US MSO
TX
Enumeration date
03/07/2019
Last updated
10/23/2024
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