Organization
UNITED NEW GENERATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS PIRELA LSA (OWNER)
(281) 653-2924
Entity
Organization
Contact information
Practice address
15814 CHAMPION FOREST DR, SPRING, TX 77379-7141
(281) 653-2924
(832) 478-9266
Mailing address
15814 CHAMPION FOREST DR PMB 320, SPRING, TX 77379-7141
(281) 653-2924
(832) 478-9266
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SA00640
LICENSE SURGICAL ASISSTANT
TX
Enumeration date
03/27/2018
Last updated
04/24/2018
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