Organization
TG SURGICAL ASSIST, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS BRIAN GILLEN P.A. (OWNER)
(832) 646-5176
Entity
Organization
Contact information
Practice address
810 E HEIGHTS HOLLOW LN, HOUSTON, TX 77007-7072
(832) 646-5176
Mailing address
810 E HEIGHTS HOLLOW LN, HOUSTON, TX 77007-7072
(832) 646-5176
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA03999
TX
Other
Enumeration date
02/21/2009
Last updated
02/21/2009
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