Organization
ARDEMAIK SURGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELSIDA MARGARITA PEREZ TAMAYO (SURGICAL ASSISTANT)
(281) 653-2924
Entity
Organization
Contact information
Practice address
10935 ALMEDA GENOA RD, POB 34551, HOUSTON, TX 77034-9998
(281) 653-2924
Mailing address
10935 ALMEDA GENOA RD, P.O. BOX 34551, HOUSTON, TX 77034-9998
(281) 653-2924
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
SA00445
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SA00445
TEXAS MEDICAL BOARD
TX
Enumeration date
02/09/2015
Last updated
02/09/2015
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