Healthcare Provider Details

I. General information

NPI: 1225993611
Provider Name (Legal Business Name): EXPERT SURGICAL ASSISTANTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2025
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13100 W BELLFORT AVE APT 236
HOUSTON TX
77099-4832
US

IV. Provider business mailing address

13100 W BELLFORT AVE APT 236
HOUSTON TX
77099-4832
US

V. Phone/Fax

Practice location:
  • Phone: 806-502-9459
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State

VIII. Authorized Official

Name: SARAJUDDIN NIKZAD
Title or Position: SURGICAL FIRST ASSISTANT
Credential: CSA
Phone: 806-502-9459