Organization
VANGUARD SURGICAL ASSISTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS BREWER (OWNER)
(210) 417-3768
Entity
Organization
Contact information
Practice address
16203 GALLOPING OAK KNL, SELMA, TX 78154-3916
(210) 417-3768
Mailing address
16203 GALLOPING OAK KNL, SELMA, TX 78154-3916
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
01/17/2021
Last updated
01/17/2021
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