Jack Louis Addesso, RSA
Physician Assistant, Surgical in Houston, TX. Individual provider (NPI-1).
NPI number1376679373
StatusActive
Last updated in NPPESOct 4, 2018
Details
- NPI
- 1376679373
- Entity type
- Individual (NPI-1)
- Name
- Mr. Jack Louis Addesso
- Credential
- RSA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 26, 2007
- Last updated
- Oct 4, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | 238.000021 | IL | Yes |
| 246ZC0007X | Specialist/Technologist, Other, Surgical Assistant | 238.000021 | IL | |
| 246ZS0410X | Specialist/Technologist, Other, Surgical Technologist | 238.000021 | IL |
Practice location
7324 Southwest FreewaySuite 1550
Houston, TX 77074-2053
Phone 713-779-9800 · Fax 713-779-9813
Mailing address
7324 Southwest FreewaySuite 1550
Houston, TX 77074
Phone 713-779-9800 · Fax 713-779-9813
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Surgical Physician Assistant providers in Houston, TX
- Ajoey Koshy Abraham, PANPI 1992319784
- Ace Surgical AssistantNPI 1871070151
- Ace Surgical Assistant Associates LLCNPI 1427514207
- Shakespeare Acevedo Perez, SA-CNPI 1013764661
- Sayed Adil, LSANPI 1649397217
- Advanced Assistant Surgery, PLLCNPI 1649437773
- Advanced Health AssociatesNPI 1487898169
- Ae Surgical Assistants, LLCNPI 1740640093
- Javier Antonio Aguilar MoranNPI 1770052664
- Nabiha Ahmed, PHYSICIAN ASSISTANTNPI 1386009231
All 491 Surgical Physician Assistant providers in Houston · All 88,303 providers in Houston
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.