Provider Demographics
NPI:1114778081
Name:JAMA SURGICAL FIRST ASSISTANTS L L C
Entity Type:Organization
Organization Name:JAMA SURGICAL FIRST ASSISTANTS L L C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:OMAR
Authorized Official - Middle Name:
Authorized Official - Last Name:JAMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:806-677-8008
Mailing Address - Street 1:2809 S HOUSTON ST
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79103-1620
Mailing Address - Country:US
Mailing Address - Phone:806-677-8008
Mailing Address - Fax:
Practice Address - Street 1:2809 S HOUSTON ST
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79103-1620
Practice Address - Country:US
Practice Address - Phone:806-677-8008
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-28
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical AssistantGroup - Single Specialty