Organization
ELITE COASTAL SURGICAL ASSIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEANDRA RYAN ALVARADO LSA (LICENSED SURGICAL ASSISTANT)
(361) 222-2144
Entity
Organization
Contact information
Practice address
449 E ELM ST, TAFT, TX 78390-2518
(361) 222-2144
Mailing address
449 E ELM ST, TAFT, TX 78390-2518
(361) 222-2144
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
03/13/2022
Last updated
03/13/2022
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