Organization
ALLY SURGICAL FIRST ASSIST.LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MONA KAYE DELONG MBR (PRESIDENT)
(713) 885-5885
Entity
Organization
Contact information
Practice address
1747 WROXTON CT SUITE 1, HOUSTON, TX 77005
(713) 885-5885
(713) 721-2535
Mailing address
1747 WROXTON CT, SUITE 1, HOUSTON, TX 77005-1751
(713) 885-5885
(713) 721-2535
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
613015
TX
Other
Enumeration date
08/15/2016
Last updated
08/17/2016
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