Provider Demographics
NPI:1154448058
Name:AUSTIN SURGICAL ASSISTANTS, INC.
Entity Type:Organization
Organization Name:AUSTIN SURGICAL ASSISTANTS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED SURGICAL ASSISTANT
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:ORLANDO
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:LSA, CSA
Authorized Official - Phone:512-773-4451
Mailing Address - Street 1:PO BOX 81525
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78708-1525
Mailing Address - Country:US
Mailing Address - Phone:512-773-4451
Mailing Address - Fax:512-233-5100
Practice Address - Street 1:9715 BURNET RD
Practice Address - Street 2:BUILDING B SUITE #100
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78758-5215
Practice Address - Country:US
Practice Address - Phone:512-773-4451
Practice Address - Fax:512-233-5100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-23
Last Update Date:2011-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXSA00254246Z00000X, 246ZS0410X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical TechnologistGroup - Multi-Specialty
No246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXSA00254OtherLICENSE SURGICAL ASSISTAN
1345OtherCERTIFIED SURGICAL ASSIST