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NPI Code Detail

MEDICARE: T.M. FIRST ASSISTING INC.

MEDICARE: T.M. FIRST ASSISTING INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1246ZC0007XSurgical AssistantSA00018TX
2246ZC0007XSurgical AssistantF01177

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1SA00018OTHERTXLICENSED SURGICAL ASSISTANT
2F01177OTHERNATIONALLY CERTIFIED FIRST ASSISTANT

General Provider Information

NPI Number : 1407031156
Entity Type Code : Organization
Provider Name (Legal Business Name) : T.M. FIRST ASSISTING INC.
Provider Business Mailing Address
First Line : 171 ROCK HOUSE DR
Second Line :
City : LIBERTY HILL
State : TX
Zip : 78642-6305
Country : US
Telephone Number : 512-905-5813
Fax Number : 512-515-0043
Provider Business Practice Location Address
First Line : 171 ROCK HOUSE DR
Second Line :
City : LIBERTY HILL
State : TX
Zip : 78642-6305
Country : US
Telephone Number : 512-905-5813
Fax Number : 512-515-0043
Authorized Official
Title or Position : CEO
Name : MR. TIMOTHY ANDREW MARVIN
Credential : CFA, L-SA
Telephone Number : 512-905-5813
Provider Enumeration Date : 12/31/2007
Last Update Date : 02/02/2009

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