Organization
GENCORE SURGICAL ASSISTANTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DERICK COWANS LSA (MANAGER)
(346) 430-0512
Entity
Organization
Contact information
Practice address
3009 TRAIL CREEK CT, PEARLAND, TX 77584-1831
(346) 430-0512
Mailing address
3009 TRAIL CREEK CT, PEARLAND, TX 77584-1831
(346) 430-0512
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
08/06/2026
Last updated
08/06/2026
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