MEDICARE: AVANT FIRST ASSISTANTS 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	SA00496	TX
2	246ZC0007X	Surgical Assistant	08-104	TX
3	363AS0400X	Surgical Physician Assistant

General Provider Information

NPI Number	:	1720343932
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AVANT FIRST ASSISTANTS LLC

Provider Business Mailing Address
First Line	:	6536 GREATWOOD PKWY STE A
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-7153
Country	:	US
Telephone Number	:	713-725-9368
Fax Number	:	832-201-9780

Provider Business Practice Location Address
First Line	:	6536 GREATWOOD PKWY STE A
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-7153
Country	:	US
Telephone Number	:	713-725-9368
Fax Number	:	832-201-9780

Authorized Official
Title or Position	:	CEM
Name	:	IVAN ARTURO ZAMORA
Credential	:	SA-C
Telephone Number	:	713-289-4127

Provider Enumeration Date	:	07/13/2012
Last Update Date	:	01/19/2023

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Directions to “AVANT FIRST ASSISTANTS LLC ” Practice Location

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