Lisa R Saulsberry, 1st Assistant
Specialist/Technologist, Other, Surgical Technologist in Beaumont, TX. Individual provider (NPI-1).
NPI number1114110012
StatusActive
Last updated in NPPESMar 21, 2013
Details
- NPI
- 1114110012
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Lisa R Saulsberry
- Credential
- 1st Assistant
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 23, 2007
- Last updated
- Mar 21, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 246ZS0410X | Specialist/Technologist, Other, Surgical Technologist | 06-116 | TX | Yes |
Practice location
740 Hospital Dr Ste 280Beaumont, TX 77701-4663
Phone 409-835-9500
Mailing address
740 Hospital Dr Ste 280Beaumont, TX 77701-4663
Phone 409-835-9500
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