Organization
MEDICAL CENTER SURGICAL ASSISTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS TANDY BANKS (OFFICE MANAGER ASSISTANT)
(713) 882-6889
Entity
Organization
Contact information
Practice address
4434 GALLAGHER DR, HOUSTON, TX 77045-6218
(713) 806-4065
(281) 489-9839
Mailing address
PO BOX 20017, HOUSTON, TX 77225-0017
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
06/24/2008
Last updated
06/24/2008
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