Organization
LINCOLN SURGICAL SUPPORT, LC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ESTUARDO MOTA LSA (PRESIDENT)
(832) 646-6110
Entity
Organization
Contact information
Practice address
1111 OLD OYSTER TRL, SUGAR LAND, TX 77478-4537
(832) 646-6110
(713) 583-3047
Mailing address
1111 OLD OYSTER TRL, SUGAR LAND, TX 77478-4537
(832) 646-6110
(713) 583-3047
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
09/13/2012
Last updated
03/09/2017
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