Organization
ASSISTANT AT SURGERY PRN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OPAL HERRSCHER RNFA CNOR (ASSISTANT)
(281) 335-0411
Entity
Organization
Contact information
Practice address
18306 BLANCHMONT LN, HOUSTON, TX 77058-3427
(281) 335-0411
(281) 333-1075
Mailing address
PO BOX 58265, HOUSTON, TX 77258-8265
(281) 335-0411
(281) 333-1075
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
550275
TX
Other
Enumeration date
10/04/2007
Last updated
10/04/2007
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