MEDICARE: MR. ARTHUR LEE HOWARD SURGICAL ASSISTANT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	246ZC0007X	Surgical Assistant

General Provider Information

NPI Number	:	1013997261
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ARTHUR LEE HOWARD SURGICAL ASSISTANT

Provider Business Mailing Address
First Line	:	11100 LOUETTA RD
Second Line	:	812
City	:	HOUSTON
State	:	TX
Zip	:	77070-1432
Country	:	US
Telephone Number	:	713-705-7178
Fax Number	:

Provider Business Practice Location Address
First Line	:	11100 LOUETTA RD
Second Line	:	812
City	:	HOUSTON
State	:	TX
Zip	:	77070-1432
Country	:	US
Telephone Number	:	713-705-6840
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/21/2006
Last Update Date	:	06/17/2014

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