Basilisa Surgical Assistant, LLC

NPI #1528453768 in Spring, Texas

Provider Information

NPI Number
1528453768
Entity Type
Organization
Organization Name
Basilisa Surgical Assistant, LLC
Primary Specialty
Specialist/Technologist, Other - Surgical Assistant
Enumeration Date
Apr 4, 2015
Last Updated
Apr 4, 2015

Practice Location

Address
25200 INTERSTATE 45 APT 104
City
Spring
State
Texas
ZIP Code
77386-1414
Phone
(832) 908-7831

Authorized Official

Name
MANUEL SALVADOR LOPEZ CARDENAS
Title
OWNER
Phone
(832) 908-7831

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist, Other - Surgical AssistantSurgical Assistant

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