Organization
EXQUISITE SURGERY ASSOC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARSHA K DIMITROFF (OWNER)
(713) 465-4106
Entity
Organization
Contact information
Practice address
593 PINEY POINT, HOUSTON, TX 77024
(713) 465-4106
(713) 465-7334
Mailing address
306 CYPRESS VISTA, HOUSTON, TX 77094
(713) 465-4106
(713) 465-7334
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
04/25/2008
Last updated
04/25/2008
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