Organization
HOUSTON LSA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RUBEN GUERRERO (LICENSED SURGICAL ASSISTANT)
(281) 778-5615
Entity
Organization
Contact information
Practice address
3015 DEER XING, MISSOURI CITY, TX 77459-2460
(281) 778-5615
Mailing address
PO BOX 300148, HOUSTON, TX 77230-0148
(281) 778-5615
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
09/28/2017
Last updated
03/16/2020
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