Organization
RYAN SURGICAL ASSIST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KERRY INCAVO (AUTHORIZED OFFICIAL)
(281) 463-6309
Entity
Organization
Contact information
Practice address
3118 QUENBY AVE, HOUSTON, TX 77005-2338
(281) 463-6309
Mailing address
3118 QUENBY AVE, HOUSTON, TX 77005-2338
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
—
—
Other
Enumeration date
11/05/2012
Last updated
08/19/2014
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