Organization
IZTLI SURGICAL ASSISTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE RAUL CHAVEZ CSA (OWNER)
(281) 928-2499
Entity
Organization
Contact information
Practice address
21448 KINGS GUILD LN, KINGWOOD, TX 77339-2678
(281) 928-2499
Mailing address
21448 KINGS GUILD LN, KINGWOOD, TX 77339-2678
(281) 928-2499
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
07/29/2022
Last updated
07/29/2022
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