Organization
LONE STAR SURGICAL ASSISTING LLC
Active
Organization
LONE STAR SURGICAL ASSISTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES CAMERON JACKSON CSFA (OWNER)
(903) 944-4646
Entity
Organization
Contact information
Practice address
10113 BARTON CREEK DR, WACO, TX 76708-5877
(903) 944-4646
Mailing address
430 W STATE HIGHWAY 6 PO BOX 20661, WACO, TX 76702-5877
(903) 944-4646
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
11/01/2022
Last updated
01/05/2023
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