Organization
INDEPENDENT SURGICAL ASSISTANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANCIS A PEREZ LSA (SURGICAL ASSISTANT)
(281) 255-9476
Entity
Organization
Contact information
Practice address
13938 TRIBE DR, CYPRESS, TX 77429-4157
(281) 255-9476
Mailing address
13938 TRIBE DR, CYPRESS, TX 77429-4157
(281) 255-9476
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
SA009
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2617
NSAA
TX
01
—
SA009
DC DEPARTMENT OF HEALTH
DC
Enumeration date
09/22/2009
Last updated
09/22/2009
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