Organization
JAC SURGICAL ASSISTANTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE ALFONSO CORREA L.S.A. (OWNER)
(713) 614-4465
Entity
Organization
Contact information
Practice address
15515 CLEAR VALLEY DR, HOUSTON, TX 77095-2774
(713) 614-4465
(832) 674-7284
Mailing address
6031 HIGHWAY 6 N, SUITE 165 # 155, HOUSTON, TX 77084-2584
(713) 614-4465
(832) 674-7284
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
09/26/2014
Last updated
10/01/2014
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