MEDICARE: SURGICAL ASSISTANTS OF AUSTIN

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	246ZS0410X	Surgical Technologist	SA00057	TX

General Provider Information

NPI Number	:	1780849786
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SURGICAL ASSISTANTS OF AUSTIN

Provider Business Mailing Address
First Line	:	3005 S LAMAR BLVD # D-109302
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78704-8864
Country	:	US
Telephone Number	:	512-215-4945
Fax Number	:

Provider Business Practice Location Address
First Line	:	3005 S LAMAR BLVD # D-109302
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78704-8864
Country	:	US
Telephone Number	:	512-215-4945
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. SERGIO JAVIER BATIZ
Credential	:	LIC. SURGICAL ASSIST
Telephone Number	:	512-215-4945

Provider Enumeration Date	:	07/20/2008
Last Update Date	:	06/11/2014

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