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Organization

INDEPENDENT SURGICAL ASSISTANCE

Active
Other names
ISA
Organization subpart
No

Provider details

NPI number
Authorized official
MR. FRANCIS A PEREZ (CSA)
(281) 255-9476
Entity
Organization

Contact information

Practice address
13938 TRIBE DR, CYPRESS, TX 77429-4157
(281) 255-9476
Mailing address
13938 TRIBE DR, CYPRESS, TX 77429-4157
(281) 255-9476

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
CSA
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
20-5897796
TAX IDENTIFICATION NUMBER
TX
Enumeration date
03/21/2007
Last updated
08/01/2008
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