Jason M Giles, CSFA, LSA
Physician Assistant, Surgical in Lake Jackson, TX. Individual provider (NPI-1).
NPI number1891123725
StatusActive
Last updated in NPPESOct 28, 2016
Details
- NPI
- 1891123725
- Entity type
- Individual (NPI-1)
- Name
- Jason M Giles
- Credential
- CSFA, LSA
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 1, 2013
- Last updated
- Oct 28, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | SA00582 | TX | Yes |
| 246ZS0410X | Specialist/Technologist, Other, Surgical Technologist | – | – |
Practice location
117 Highway 332 W Ste JSuite 5 Box 222
Lake Jackson, TX 77566-4022
Phone 432-230-5412
Mailing address
117 Highway 332 W Ste JSuite 5 Box 222
Lake Jackson, TX 77566-4022
Phone 432-230-5412
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