Organization
ELITE SURGICAL STAFFING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOUIS C TROSCLAIR III LSA (SOLE MEMBER)
(713) 533-4444
Entity
Organization
Contact information
Practice address
9896 BISSONNET ST, 402, HOUSTON, TX 77036-8202
(713) 533-4444
Mailing address
PO BOX 820471, HOUSTON, TX 77282-0471
(713) 533-4444
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
SA0100
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-325
NATIONAL CERTIFICATION
—
01
—
SA0100
STATE LICENSE
TX
Enumeration date
06/18/2007
Last updated
08/22/2020
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