Organization · NPI-2

Capstone Surgical Associates, PLLC

Registered Nurse, Registered Nurse First Assistant · Conroe, TX

NPI number1124263405

StatusActive

Last updated in NPPESDec 15, 2008

Details

NPI: 1124263405
Entity type: Organization (NPI-2)
Legal business name: Capstone Surgical Associates, PLLC
Organization subpart: No
Enumeration date: Dec 15, 2008
Last updated: Dec 15, 2008

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
163WR0006X	Registered Nurse, Registered Nurse First Assistant	680131	TX	Yes

Practice location

2257 N Loop 336 W
Suite 140-407
Conroe, TX 77304-3520

Phone 936-524-7317 · Fax 936-788-5659

Mailing address

2257 N Loop 336 W
Suite 140-407
Conroe, TX 77304-3520

Phone 936-524-7317 · Fax 936-788-5659

Authorized official

Willie M. Villarreal
Ceo
9365247317

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