Organization
SURGICAL FIRST ASSISTING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA LANE PACKARD (CSFA)
(210) 660-9976
Entity
Organization
Contact information
Practice address
10111 ROSEBERRY DR, LA PORTE, TX 77571-2914
(210) 660-9976
Mailing address
10111 ROSEBERRY DR, LA PORTE, TX 77571-2914
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
06/28/2022
Last updated
06/28/2022
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