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Organization

SURGIPAC SERVICES LLC

Active
Other names
SURGIPAC SURGICAL SERVICES
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. NELSON LOPEZ PA-C (PRESIDENT)
(713) 854-6467
Entity
Organization

Contact information

Practice address
22136 WESTHEIMER PKWY, #758, KATY, TX 77450-8296
(713) 854-6467
(281) 954-5982
Mailing address
22136 WESTHEIMER PKWY, #758, KATY, TX 77450-8296
(713) 854-6467
(888) 826-7916

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
363AS0400X
Surgical Physician Assistant
Primary
PA00915
TX

Other

Enumeration date
05/17/2010
Last updated
09/04/2012
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