Organization
TSA SURGICAL ASSISTING SERVICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIM MICHEAL YORK LSA (CEO)
(832) 264-1953
Entity
Organization
Contact information
Practice address
111 VISON PARK BLVD., FIRST SURGICAL WOODLANDS TEXAS, CONROE, TX 77384
(936) 271-1011
Mailing address
PO BOX 73024, HOUSTON, TX 77273-3024
(832) 264-1953
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
SA000411
TX
Other
Enumeration date
09/26/2011
Last updated
09/26/2011
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