Organization
PREMIER CV SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PERCY JAVIER VELASQUEZ LSA (LISENCE SURGICAL ASSISTANT)
(281) 494-1315
Entity
Organization
Contact information
Practice address
118 SHADOW WOOD DR, SUGAR LAND, TX 77478-2665
(281) 494-1315
Mailing address
118 SHADOW WOOD DR, SUGAR LAND, TX 77478-2665
(281) 494-1315
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
SA00151
TX
Other
Enumeration date
04/29/2008
Last updated
04/29/2008
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