Organization
SKILLED SURGICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE OSCAR CARRION LSA (OWNER)
(281) 653-2924
Entity
Organization
Contact information
Practice address
17514 STONEBROOK RUN CT, TOMBALL, TX 77375-0065
(281) 653-2924
(832) 478-9266
Mailing address
PO BOX 2071, TOMBALL, TX 77377-2071
(281) 653-2924
(832) 478-9266
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
SA00331
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SA00331
LICENSE SURGICAL ASSISTANT
TX
Enumeration date
04/21/2017
Last updated
04/21/2017
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