Organization
PROTEAN SURGICAL ASSISTANTS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PEDRO COLUNGA JR. RN (PRESIDENT)
(713) 501-5545
Entity
Organization
Contact information
Practice address
11710 SHOAL LANDING ST, PEARLAND, TX 77584-8750
(713) 501-5545
(713) 436-9066
Mailing address
PO BOX 451669, HOUSTON, TX 77245-1669
(713) 501-5545
(713) 436-9066
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
711650
TX
Other
Enumeration date
07/28/2012
Last updated
08/04/2012
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