Organization
METRO SURGASSIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LORENZO VASQUEZ LSA (AUTHORIZED OFFICIAL)
(281) 463-6309
Entity
Organization
Contact information
Practice address
16151 CAIRNWAY DR, STE 100, HOUSTON, TX 77084-3550
(281) 463-6309
Mailing address
PO BOX 860031, PLANO, TX 75086-0031
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
10/09/2014
Last updated
10/09/2014
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