Organization
FIRST SOUTHWEST SURGICAL ASSISTANTS
Active
Other names
FIRST SOUTHWEST SURGICAL ASSISTANTS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAMUEL B. HENDERSON SR. SA-C (SA-C)
(830) 734-2689
Entity
Organization
Contact information
Practice address
5918 DEWDROP LN, CONVERSE, TX 78109-3741
(830) 734-2689
(210) 475-3995
Mailing address
5819 DEWDROP LANE, CONVERSE, TX 78109-9787
(830) 734-2689
(210) 475-3995
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
04/29/2008
Last updated
08/18/2015
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