Organization
D SCOTT SURGICAL ASSIST
Active
Organization
D SCOTT SURGICAL ASSIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS SCOTT LSA (OWNER)
(832) 267-2830
Entity
Organization
Contact information
Practice address
2033 LAKESIDE LNDG, SEABROOK, TX 77586-8302
(832) 267-2830
Mailing address
PO BOX 1217, SEABROOK, TX 77586-1217
(832) 267-2830
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SA00576
LSA
TX
Enumeration date
04/10/2020
Last updated
04/10/2020
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