Organization
NEW MOON SURGICAL ASSISTANCE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON T SMITH LSA, CSFA, CST (PRESIDENT)
(346) 715-9098
Entity
Organization
Contact information
Practice address
4419 BEARBERRY AVE, BAYTOWN, TX 77521-1677
(346) 715-9098
Mailing address
4419 BEARBERRY AVE, BAYTOWN, TX 77521-1677
(346) 715-9098
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
04/09/2020
Last updated
04/09/2020
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