Organization
SLM SURGICAL ASSISTING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHONDA MARTIN LSA (OWNER)
(346) 221-1597
Entity
Organization
Contact information
Practice address
3206 SERENE OAK DR, SUGAR LAND, TX 77478-4431
(346) 221-1597
(832) 581-4677
Mailing address
PO BOX 1651, CROSBY, TX 77532-1651
(346) 221-1597
(888) 832-5078
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
SA00438
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SA00438
STATE LICENSE NUMBER
TX
Enumeration date
07/28/2016
Last updated
07/28/2016
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