Organization
PERIOP SURGICAL ALLIANCE SOUTHWEST LLC
Active
Other names
Periop Surgical Alliance Southwest LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ELIAS YARRITO JR. LSA (CEO)
(936) 760-6591
Entity
Organization
Contact information
Practice address
17200 ST LUKES WAY, THE WOODLANDS, TX 77384-8007
(936) 760-6591
(936) 582-6013
Mailing address
2300 WOODFOREST PKWY N STE 250-162, MONTGOMERY, TX 77316-6501
(936) 760-6591
(936) 582-6013
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
246ZC0007X
Surgical Assistant
SA00395
TX
Other
Enumeration date
02/27/2017
Last updated
11/09/2020
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