Healthcare Provider Details

I. General information

NPI: 1831315324
Provider Name (Legal Business Name): SURGICAL ASSIST SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/17/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13395 ALASKAN DR
BEAUMONT TX
77713-9444
US

IV. Provider business mailing address

13395 ALASKAN DR
BEAUMONT TX
77713-9444
US

V. Phone/Fax

Practice location:
  • Phone: 409-753-2622
  • Fax:
Mailing address:
  • Phone: 409-753-2622
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246ZS0410X
TaxonomySurgical Technologist
License Number246ZS0400X
License Number StateTX

VIII. Authorized Official

Name: CINDY REBECCA SEAMANS
Title or Position: OWNER
Credential:
Phone: 409-753-2622