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Organization

JB SURGICAL ASSIST LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JUAN CARLOS BUSTOS MD (PRESIDENT)
(713) 984-9918
Entity
Organization

Contact information

Practice address
8829 MERLIN DRIVE, HOUSTON, TX 77055
(713) 984-9918
Mailing address
8829 MERLIN DRIVE, HOUSTON, TX 77055
(713) 984-9918

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
SA00382
TX

Other

Enumeration date
01/24/2014
Last updated
02/04/2014
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