Organization
COOX SURGICAL ASISSTANS MANAGEMENT CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARMEN ISABEL ACEBO JR. L.S.A (C.E.O)
(832) 713-9153
Entity
Organization
Contact information
Practice address
20023 SKY HOLLOW LN, KATY, TX 77450-5219
(832) 713-9153
(281) 676-4457
Mailing address
20023 SKY HOLLOW LN, KATY, TX 77450-5219
(832) 713-9153
(281) 676-4457
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
193400000X
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1912058256
L.S.A
TX
Enumeration date
02/08/2018
Last updated
02/08/2018
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