Elite Coastal Surgical Assist

NPI #1831847458 in Taft, Texas

Provider Information

NPI Number
1831847458
Entity Type
Organization
Organization Name
Elite Coastal Surgical Assist
Primary Specialty
Physician Assistant - Surgical
Enumeration Date
Mar 13, 2022
Last Updated
Mar 13, 2022

Practice Location

Address
449 E ELM ST
City
Taft
State
Texas
ZIP Code
78390-2518
Phone
(361) 222-2144

Authorized Official

Name
LEANDRA RYAN ALVARADO, LSA
Title
LICENSED SURGICAL ASSISTANT
Phone
(361) 222-2144

Specialties & Taxonomy Codes

Specialty
Physician Assistant - SurgicalSurgical

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