MEDICARE: CUTTING EDGE SURGICAL ASSISTANTS

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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	105560	OTHER	CO	CERTIFIED FIRST ASSISTANT
2	107078	OTHER	TX	CFA
3	239253	OTHER	TX	REGISTERED NURSE FIRST AS
4	516735	OTHER	TX	REGISTERED NURSE FIRST AS
5	08-276	OTHER	TX	CSA
6	593263	OTHER	TX	RNFA
7	PA01466	OTHER	TX	PA-C
8	SA00166	OTHER	TX	LICENSED SURGICAL ASSISTA
9	SA00273	OTHER	TX	LICENSED SURGICAL ASSISTA
10	07-142	OTHER	TX	CSA
11	101962	OTHER	TX	CERTIFIED FIRST ASSISTANT
12	242045	OTHER	TX	RNFA
13	580819	OTHER	TX	REGISTERED NURSE FIRST AS
14	680220	OTHER	TX	RNFA
15	PA05759	OTHER	TX	PA-C
16	00056	OTHER	TX	LICENSED SURGICAL ASSIST
17	95151	OTHER	TX	CERTIFIED FIRST ASSISTANT
18	732718	OTHER	TX	APN
19	739339, SA00339	OTHER	TX	RN, LSA
20	SA00310	OTHER	TX	LSA
21	055995	OTHER	TX	CERT. R NURSE CRNFA
22	SA00150	OTHER	TX	LICENSED SURGICAL ASSISTA

General Provider Information

NPI Number	:	1922207943
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CUTTING EDGE SURGICAL ASSISTANTS

Provider Business Mailing Address
First Line	:	9494 SOUTHWEST FWY
Second Line	:	SUITE 720
City	:	HOUSTON
State	:	TX
Zip	:	77074-1419
Country	:	US
Telephone Number	:	713-777-4539
Fax Number	:

Provider Business Practice Location Address
First Line	:	9494 SOUTHWEST FWY
Second Line	:	SUITE 720
City	:	HOUSTON
State	:	TX
Zip	:	77074-1419
Country	:	US
Telephone Number	:	713-777-4539
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. MICHAEL W HERNANDEZ
Credential	:
Telephone Number	:	713-777-4539

Provider Enumeration Date	:	07/11/2007
Last Update Date	:	09/14/2009

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