Provider Demographics
NPI:1235455601
Name:SURGICAL ASSISTANTS OF CENTRAL TEXAS, L.L.C.
Entity Type:Organization
Organization Name:SURGICAL ASSISTANTS OF CENTRAL TEXAS, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:
Authorized Official - Last Name:MARRERO
Authorized Official - Suffix:
Authorized Official - Credentials:OPA-C, LSA
Authorized Official - Phone:830-609-9113
Mailing Address - Street 1:176 LANDA ST
Mailing Address - Street 2:132
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-7908
Mailing Address - Country:US
Mailing Address - Phone:830-609-9113
Mailing Address - Fax:830-387-4185
Practice Address - Street 1:176 LANDA ST
Practice Address - Street 2:132
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-7908
Practice Address - Country:US
Practice Address - Phone:830-609-9113
Practice Address - Fax:830-387-4185
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-10
Last Update Date:2010-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXSAOOO44246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical AssistantGroup - Single Specialty