Healthcare Provider Details

I. General information

NPI: 1134471949
Provider Name (Legal Business Name): ACTION SURGICAL & BRACING SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/04/2012
Last Update Date: 10/04/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3022 NORWICH ST
PEARLAND TX
77584-2322
US

IV. Provider business mailing address

PO BOX 84431
PEARLAND TX
77584-0014
US

V. Phone/Fax

Practice location:
  • Phone: 281-830-4845
  • Fax: 713-436-1295
Mailing address:
  • Phone: 281-830-4845
  • Fax: 713-436-1295

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License Number
License Number State

VIII. Authorized Official

Name: ANABEL DELCARMEN KEYS
Title or Position: CEO/OPERATIONS MANAGER
Credential:
Phone: 281-830-4845