Organization
TEXAS MENSA NEUROSURGERY MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID FRIERSON SMITH LSA (CEO)
(832) 451-9031
Entity
Organization
Contact information
Practice address
9550 SPRING GREEN BLVD, SUITE 408-358, KATY, TX 77494-3758
(832) 451-9031
(832) 437-2915
Mailing address
9550 SPRING GREEN BLVD, SUITE 408-358, KATY, TX 77494-3758
(832) 451-9031
(832) 437-2915
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
TXSA0098
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TXSA0098
SURGICAL ASSISTANT
TX
Enumeration date
10/05/2016
Last updated
10/05/2016
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