Organization
ATX SURGICAL ASSISTANTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH LOUISE SHEFFIELD LSA (PRESIDENT)
(512) 689-6182
Entity
Organization
Contact information
Practice address
14745 MERRILTOWN RD APT 5815, AUSTIN, TX 78728-5768
(512) 689-6182
Mailing address
14745 MERRILTOWN RD APT 5815, AUSTIN, TX 78728-5768
(512) 689-6182
Taxonomy
Speciality
Code
Description
License number
State
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
—
—
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SA00787
LICENSED SURGICAL ASSISTANT
TX
Enumeration date
02/17/2020
Last updated
02/16/2022
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