Organization
NOMAD SURGICAL PRO PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KHEIREDDINE DAOUDI LSA (PRESIDENT)
(713) 518-2153
Entity
Organization
Contact information
Practice address
18703 DUKE LAKE DR, SPRING, TX 77388-2007
(281) 653-2924
(832) 478-9266
Mailing address
PO BOX 2207, SPRING, TX 77383-2207
(281) 653-2924
(832) 478-9266
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
SA00581
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SA00581
LICENSED SURGICAL ASSISTANT
TX
Enumeration date
04/27/2017
Last updated
04/27/2017
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