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NPI Code Detail

MEDICARE: BCS SURGICAL ASSISTANTS, PC

MEDICARE: BCS SURGICAL ASSISTANTS, PC
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
1174400000XSpecialist253494TX

General Provider Information

NPI Number : 1265656847
Entity Type Code : Organization
Provider Name (Legal Business Name) : BCS SURGICAL ASSISTANTS, PC
Provider Business Mailing Address
First Line : 6395 STEEP HOLLOW CIR
Second Line :
City : BRYAN
State : TX
Zip : 77808-5127
Country : US
Telephone Number : 979-776-0045
Fax Number : 979-774-3440
Provider Business Practice Location Address
First Line : 6395 STEEP HOLLOW CIR
Second Line :
City : BRYAN
State : TX
Zip : 77808-5127
Country : US
Telephone Number : 979-776-0045
Fax Number : 979-774-3440
Authorized Official
Title or Position : OWNER
Name : MS. PENNY L RYAN
Credential : RNFA
Telephone Number : 979-776-0045
Provider Enumeration Date : 04/13/2007
Last Update Date : 08/22/2020

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Directions to “BCS SURGICAL ASSISTANTS, PC ” Practice Location

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