Rushmore Surgical Assistants LLC
Physician Assistant, Surgical in The Woodlands, TX. Organization (NPI-2).
NPI number1013348366
StatusActive
Last updated in NPPESNov 24, 2015
Details
- NPI
- 1013348366
- Entity type
- Organization (NPI-2)
- Legal business name
- Rushmore Surgical Assistants LLC
- Organization subpart
- No
- Enumeration date
- Dec 11, 2013
- Last updated
- Nov 24, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | – | – | Yes |
| 246ZC0007X | Specialist/Technologist, Other, Surgical Assistant | SA00395 | TX | |
| 246ZC0007X | Specialist/Technologist, Other, Surgical Assistant | 3341 | TX | |
| 246ZS0410X | Specialist/Technologist, Other, Surgical Technologist | 548445 | TX |
Practice location
17400 St Lukes WayThe Woodlands, TX 77384-8036
Phone 936-760-6591 · Fax 936-582-6013
Mailing address
Po Box 18Montgomery, TX 77356-0018
Phone 936-760-6591 · Fax 936-582-6013
Authorized official
Elias Yarrito
Ceo
9367606591
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