Organization
SURGICAL ASSISTANTS OF GREATER HOUSTON
Active
Organization
SURGICAL ASSISTANTS OF GREATER HOUSTON
Active
Other names
Surgical Assistants of Greater Houston
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENNIS MARRERO O.P.A.-C., CSFA-OS (CEO)
(512) 697-9816
Entity
Organization
Contact information
Practice address
8104 EPHRAIM RD, AUSTIN, TX 78717-5334
(512) 697-9816
(512) 828-6486
Mailing address
8104 EPHRAIM RD, AUSTIN, TX 78717-5334
(512) 697-9816
(512) 828-6486
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
103402
TX
363AS0400X
Surgical Physician Assistant
Primary
604
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00F703
CERTIFIED FIRST ASSISTANT
—
01
—
103402
CERTIFIED SURGICAL FIRST ASSISTANT
TX
01
—
103402
ORTHOPEDIC SPECIALIST
—
01
—
604
ORTHOPEDIC P.A. CERT #
TX
Enumeration date
06/18/2007
Last updated
11/28/2012
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