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Organization

BIG BLUE SURGICAL ASSISTING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AMY BURTON CSFA (CERTIFIED SURGICAL FIRST ASSISTANT)
(859) 595-6699
Entity
Organization

Contact information

Practice address
28003 LONE ROCK CT, FULSHEAR, TX 77441-1596
(859) 595-6699
Mailing address
28003 LONE ROCK CT, FULSHEAR, TX 77441-1596

Taxonomy

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

Other

Enumeration date
12/10/2015
Last updated
12/10/2015
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