Organization
PROFICIENT SURGICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIO C LORES RIVERON CLSA, CSA LSA, RN (MANAGER)
(281) 818-7984
Entity
Organization
Contact information
Practice address
1823 CREEK DR, HOUSTON, TX 77080-6820
(281) 935-2012
Mailing address
1823 CREEK DR, HOUSTON, TX 77080-6820
(281) 935-2012
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
903329
TX
246ZC0007X
Surgical Assistant
Primary
SA00324
TX
Other
Enumeration date
07/07/2018
Last updated
07/07/2018
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