Organization
SURGEXCEL FIRST ASSISTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVERRET WILLIAMS (OWNER)
(979) 240-4118
Entity
Organization
Contact information
Practice address
1301 WONDER WORLD DR, SAN MARCOS, TX 78666-7533
(512) 938-2664
Mailing address
10001 S 1ST ST APT 635, AUSTIN, TX 78748-6697
(979) 240-4118
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
04/28/2015
Last updated
06/18/2015
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