Organization
ASTUDILLO SURGICAL ASSISTANT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HECTOR ASTUDILLO MANTILLA LSA (OWNER)
(201) 892-8009
Entity
Organization
Contact information
Practice address
18006 ISELT CT, TOMBALL, TX 77377-2378
(281) 653-2924
(832) 478-9266
Mailing address
18006 ISELT CT, TOMBALL, TX 77377-2378
(281) 653-2924
(832) 478-9266
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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