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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