Healthcare Provider Details

I. General information

NPI: 1861124596
Provider Name (Legal Business Name): VOITHOS SURGICAL SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2022
Last Update Date: 06/30/2022
Certification Date: 06/30/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1904 REED GRASS WAY
COLORADO SPRINGS CO
80915-2071
US

IV. Provider business mailing address

3905 MELCER DR STE 601
ROWLETT TX
75088-4033
US

V. Phone/Fax

Practice location:
  • Phone: 214-227-2457
  • Fax: 214-764-0880
Mailing address:
  • Phone: 214-227-2457
  • Fax: 214-764-0880

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246ZC0007X
TaxonomySurgical Assistant
License Number
License Number State

VIII. Authorized Official

Name: MICHELE A DAVIS
Title or Position: CEO
Credential: CSFA
Phone: 214-227-2457