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NPI Code Detail

MEDICARE: TEXAS ELITE SURGICAL SERVICES, LLC

MEDICARE: TEXAS ELITE SURGICAL SERVICES, LLC
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
1246ZC0007XSurgical Assistant00524TX

General Provider Information

NPI Number : 1720462401
Entity Type Code : Organization
Provider Name (Legal Business Name) : TEXAS ELITE SURGICAL SERVICES, LLC
Provider Business Mailing Address
First Line : 8300 FM 1960 RD W
Second Line : SUITE 450
City : HOUSTON
State : TX
Zip : 77070-5654
Country : US
Telephone Number : 713-705-7173
Fax Number : 832-218-8987
Provider Business Practice Location Address
First Line : 8300 FM 1960 RD W
Second Line : SUITE 450
City : HOUSTON
State : TX
Zip : 77070-5654
Country : US
Telephone Number : 713-705-7173
Fax Number : 832-218-8987
Authorized Official
Title or Position : OWNER
Name : ARTHUR HOWARD
Credential : LSA
Telephone Number : 713-705-7178
Provider Enumeration Date : 07/13/2015
Last Update Date : 08/09/2015

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Directions to “TEXAS ELITE SURGICAL SERVICES, LLC ” Practice Location

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