Healthcare Provider Details

I. General information

NPI: 1730746595
Provider Name (Legal Business Name): ZEPHYR SURGICAL ASSIST, L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2019
Last Update Date: 02/06/2023
Certification Date: 02/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8811 TWEEDBROOK DR
SPRING TX
77379-6366
US

IV. Provider business mailing address

PO BOX 11807
SPRING TX
77391-1807
US

V. Phone/Fax

Practice location:
  • Phone: 713-992-1086
  • Fax:
Mailing address:
  • Phone: 713-992-1086
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License Number
License Number State

VIII. Authorized Official

Name: MR. MICHAEL RILEY
Title or Position: OWNER
Credential: LSA
Phone: 713-992-1086