Organization
MEXLIFE SURGICAL ASSISTANT SERVICE, CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS ORTIZ (AUTHORIZED OFFICIAL)
(281) 463-6309
Entity
Organization
Contact information
Practice address
16151 CAIRNWAY DR, SUITE 210, HOUSTON, TX 77084-3550
(281) 463-6309
Mailing address
PO BOX 18042, SUGAR LAND, TX 77496-8042
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
12/17/2010
Last updated
12/17/2010
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