Organization
LONE STAR FIRST ASSISTANT SURGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUIS HERNANDEZ LSA (SURGICAL ASSISTANT)
(281) 256-5702
Entity
Organization
Contact information
Practice address
21175 TOMBALL PKWY PMB # 122, HOUSTON, TX 77070-1655
(346) 444-2705
Mailing address
21175 TOMBALL PKWY PMB #122, HOUSTON, TX 77070-1655
(346) 444-2705
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
SA00334
TX
Other
Enumeration date
10/28/2015
Last updated
10/29/2015
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