Organization
OB SURGICAL ASSISTANTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELMER O BONILLA LSA (OWNER)
(832) 805-4303
Entity
Organization
Contact information
Practice address
15411 HOPE SHADOW CT, CYPRESS, TX 77429-6237
(281) 653-2924
(832) 478-9266
Mailing address
15411 HOPE SHADOW CT, CYPRESS, TX 77429-6237
(281) 653-2924
(832) 478-9266
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
01/28/2021
Last updated
01/28/2021
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