Provider Demographics
NPI:1053681023
Name:ADVANCED SURGICAL ASSISTANTS LLC
Entity Type:Organization
Organization Name:ADVANCED SURGICAL ASSISTANTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHAD
Authorized Official - Middle Name:ALEXANDER
Authorized Official - Last Name:VANHOY
Authorized Official - Suffix:
Authorized Official - Credentials:CSA
Authorized Official - Phone:979-549-8559
Mailing Address - Street 1:PO BOX 2144
Mailing Address - Street 2:
Mailing Address - City:LEAGUE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77574-2144
Mailing Address - Country:US
Mailing Address - Phone:832-932-5787
Mailing Address - Fax:832-932-5979
Practice Address - Street 1:3101 NASA PKWY STE F
Practice Address - Street 2:
Practice Address - City:SEABROOK
Practice Address - State:TX
Practice Address - Zip Code:77586
Practice Address - Country:US
Practice Address - Phone:832-932-5787
Practice Address - Fax:832-932-5979
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-09
Last Update Date:2018-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical AssistantGroup - Single Specialty