Healthcare Provider Details

I. General information

NPI: 1235760240
Provider Name (Legal Business Name): RIGHT HAND SURGICAL ASSISTANT, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2020
Last Update Date: 12/15/2021
Certification Date: 12/15/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4700 SETON CENTER PKWY STE 100
AUSTIN TX
78759-6215
US

IV. Provider business mailing address

1913 SAND CREEK RD
CEDAR PARK TX
78613-7664
US

V. Phone/Fax

Practice location:
  • Phone: 512-439-1000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code246ZC0007X
TaxonomySurgical Assistant
License Number
License Number StateNULL

VIII. Authorized Official

Name: MS. JEANELLE PICKERING WOLSKI
Title or Position: PRESIDENT
Credential: LSA
Phone: 512-716-9664