Organization
MILLENNIUM SURGICAL ASSOCIATES STAFFING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. THERESA MARIE HESLOP LSA, CSA (ADMINISTRATOR)
(832) 891-9989
Entity
Organization
Contact information
Practice address
2437 BAY AREA BLVD, HOUSTON, TX 77058-1519
(832) 891-9989
(866) 576-4221
Mailing address
2437 BAY AREA BLVD, HOUSTON, TX 77058-1519
(832) 891-9989
(866) 576-4221
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
SA00475
TX
363AS0400X
Surgical Physician Assistant
—
TX
Other
Enumeration date
12/08/2013
Last updated
04/11/2016
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