Organization
SPINAL INTRAOPERATIVE ASSISTANTS LLC
Active
Organization
SPINAL INTRAOPERATIVE ASSISTANTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHIDA JABERANSARI (PRESIDENT)
(713) 850-1190
Entity
Organization
Contact information
Practice address
1 SUGAR CREEK CENTER BLVD, STE. 475A, SUGAR LAND, TX 77478-3560
(713) 850-1190
(713) 850-1327
Mailing address
1 SUGAR CREEK CENTER BLVD, STE. 475A, SUGAR LAND, TX 77478-3560
(713) 850-1190
(713) 850-1327
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA04515
TX
Other
Enumeration date
01/24/2012
Last updated
01/24/2012
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