MEDICARE: TEXAS SURGICAL ASSISTS LLC

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
1	246ZC0007X	Surgical Assistant

General Provider Information

NPI Number	:	1508721747
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TEXAS SURGICAL ASSISTS LLC

Provider Business Mailing Address
First Line	:	1705 REVERSE ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77055-5313
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1705 REVERSE ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77055-5313
Country	:	US
Telephone Number	:	832-856-6720
Fax Number	:

Authorized Official
Title or Position	:	MANAGING PARTNER
Name	:	SHAREEF DEFRAWI
Credential	:
Telephone Number	:	281-687-1730

Provider Enumeration Date	:	12/19/2025
Last Update Date	:	12/19/2025

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Directions to “TEXAS SURGICAL ASSISTS LLC ” Practice Location

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