Provider Demographics
NPI:1003144361
Name:SURGICAL ASSOCIATES OF CHEROKEE COUNTY PA
Entity Type:Organization
Organization Name:SURGICAL ASSOCIATES OF CHEROKEE COUNTY PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:APRIL
Authorized Official - Middle Name:G
Authorized Official - Last Name:ARZATE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-637-2002
Mailing Address - Street 1:12741 RESEARCH BLVD
Mailing Address - Street 2:SUITE 500
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78759-4388
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:203 NACOGDOCHES ST
Practice Address - Street 2:SUITE 260
Practice Address - City:JACKSONVILLE
Practice Address - State:TX
Practice Address - Zip Code:75766-2462
Practice Address - Country:US
Practice Address - Phone:903-634-7684
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-25
Last Update Date:2009-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty