Organization
TOMBALL SURGICAL ASSISTANT SERVICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FEDERICO IVOR MOSQUERA LSA (OFFICE MANAGER)
(832) 493-3204
Entity
Organization
Contact information
Practice address
18220 TOMBALL PKWY # 249, HOUSTON, TX 77070-4347
(281) 737-1000
Mailing address
PO BOX 690171, HOUSTON, TX 77269-0171
(832) 493-3204
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
07/01/2020
Last updated
07/01/2020
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