Organization
IMPERIAL SURGICAL ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA HUNTER GREENE (MANAGING MEMBER)
(903) 826-3302
Entity
Organization
Contact information
Practice address
410 DETERING ST, HOUSTON, TX 77007-7127
(903) 826-3302
Mailing address
410 DETERING ST, HOUSTON, TX 77007-7127
(903) 826-3302
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA06288TX
TX
Other
Enumeration date
09/03/2011
Last updated
07/11/2012
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