Umbrella Surgical Associates
Physician Assistant, Surgical in Sugar Land, TX. Organization (NPI-2).
NPI number1699220152
StatusActive
Last updated in NPPESMar 6, 2017
Details
- NPI
- 1699220152
- Entity type
- Organization (NPI-2)
- Legal business name
- Umbrella Surgical Associates
- Organization subpart
- No
- Enumeration date
- Aug 24, 2016
- Last updated
- Mar 6, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | – | – | Yes |
Practice location
1111 Old Oyster TrlSugar Land, TX 77478-4537
Phone 832-637-7127 · Fax 713-583-3047
Mailing address
1111 Old Oyster TrlSugar Land, TX 77478-4537
Phone 832-637-7127 · Fax 713-583-3047
Authorized official
Regina Michelle Gallardo
Administrator
8328752253
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