Organization
TIPA LLC
Active
Organization
TIPA LLC
Active
Other names
US Surgical assistant services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICTOR HUGO VALENCIA ARELLANO M.D. (PRESIDENT)
(281) 855-2244
Entity
Organization
Contact information
Practice address
15410 RIDGE PARK DR, HOUSTON, TX 77095-3324
(281) 855-2244
Mailing address
15410 RIDGE PARK DR, HOUSTON, TX 77095-3324
(281) 855-2244
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
G7777
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140341253
—
TX
Enumeration date
10/07/2011
Last updated
10/07/2011
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