Provider Demographics
NPI:1265656847
Name:BCS SURGICAL ASSISTANTS, PC
Entity Type:Organization
Organization Name:BCS SURGICAL ASSISTANTS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:PENNY
Authorized Official - Middle Name:L
Authorized Official - Last Name:RYAN
Authorized Official - Suffix:
Authorized Official - Credentials:RNFA
Authorized Official - Phone:979-776-0045
Mailing Address - Street 1:6395 STEEP HOLLOW CIR
Mailing Address - Street 2:
Mailing Address - City:BRYAN
Mailing Address - State:TX
Mailing Address - Zip Code:77808-5127
Mailing Address - Country:US
Mailing Address - Phone:979-776-0045
Mailing Address - Fax:979-774-3440
Practice Address - Street 1:6395 STEEP HOLLOW CIR
Practice Address - Street 2:
Practice Address - City:BRYAN
Practice Address - State:TX
Practice Address - Zip Code:77808-5127
Practice Address - Country:US
Practice Address - Phone:979-776-0045
Practice Address - Fax:979-774-3440
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX253494174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty