Organization
SOUTHWEST SURGICAL ASSISTANCE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OMAR FUSTOK (PRESIDENT)
(713) 844-8278
Entity
Organization
Contact information
Practice address
4140 SOUTHWEST FREEWAY SUITE 510, HOUSTON, TX 77027
(713) 844-8278
Mailing address
4140 SOUTHWEST FREEWAY SUITE 510, HOUSTON, TX 77027
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
01/18/2011
Last updated
01/18/2011
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